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General NPI Number Information
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NPI Number | 1417690231
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Entity Type | Individual
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Provider Name | BETTY KUI PA-C
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Gender | Female
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Dates
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Enumeration Date | 04/19/2022
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 233 W ROUTE 59
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City | NANUET
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State | NY
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Zip | 10954-2225
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Country | US
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Telephone | 845-510-2200
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Fax | 845-215-5611
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Provider Business Mailing Address
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Address Line | 6313 83RD PL
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City | MIDDLE VILLAGE
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State | NY
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Zip | 11379-1949
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Country | US
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Telephone | 609-664-6634
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 028536
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License Number State | NY
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