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General NPI Number Information
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NPI Number | 1457683419
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Entity Type | Individual
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Provider Name | EMILY HATHORN POZGAY NP
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Gender | Female
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Dates
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Enumeration Date | 02/02/2010
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Last Update Date | 02/02/2010
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Provider Practice Location Address
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Address Line | 75 N COUNTRY RD
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City | PORT JEFFERSON
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State | NY
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Zip | 11777-2119
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Country | US
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Telephone | 631-476-2725
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Fax |
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Provider Business Mailing Address
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Address Line | 12 SPRINGFIELD RD P.O. BOX 857
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City | SOUND BEACH
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State | NY
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Zip | 11789-2825
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Country | US
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Telephone | 631-849-5594
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Fax | 631-744-6967
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F305214
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License Number State | NY
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