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General NPI Number Information
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NPI Number | 1457843716
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Entity Type | Individual
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Provider Name | DR. NILSON TAPIA
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Gender | Male
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Dates
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Enumeration Date | 06/02/2018
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 1200 ROUTE 300
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City | NEWBURGH
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State | NY
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Zip | 12550-5003
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Country | US
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Telephone | 845-703-6999
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Fax | 845-796-5897
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Provider Business Mailing Address
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Address Line | 75 CORBIN HILL RD # 823
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City | FORT MONTGOMERY
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State | NY
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Zip | 10922-7752
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Country | US
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Telephone |
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 305202
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License Number State | NY
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