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General NPI Number Information
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NPI Number | 1467670620
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Entity Type | Organization
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Legal Business Name | HUDSON VALLEY PEDIATRICS
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 04/16/2009
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Provider Practice Location Address
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Address Line | 100 CRYSTAL RUN RD SUITE 107
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City | MIDDLETOWN
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State | NY
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Zip | 10941-4041
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Country | US
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Telephone | 845-692-6996
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Fax | 845-692-2286
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Provider Business Mailing Address
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Address Line | 100 CRYSTAL RUN RD SUITE 107
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City | MIDDLETOWN
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State | NY
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Zip | 10941-4041
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Country | US
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Telephone | 845-692-6996
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Fax | 845-692-2286
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Authorized Official
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Title or Position | ADMIN. ASST.
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Name | MRS. BEVERLY SIRVENT
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Credential |
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Telephone | 845-692-6996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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