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General NPI Number Information
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NPI Number | 1477151561
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Entity Type | Individual
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Provider Name | EMMA MEORE
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Gender | Female
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Dates
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Enumeration Date | 10/12/2020
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 124 RAYMOND AVE BOX 750
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City | POUGHKEEPSIE
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State | NY
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Zip | 12604-4622
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Country | US
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Telephone | 845-437-7735
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Fax |
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Provider Business Mailing Address
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Address Line | 34 MAPLE BROOK RD
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City | TUXEDO PARK
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State | NY
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Zip | 10987-4622
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Country | US
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Telephone | 845-642-4399
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 004347-01
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License Number State | NY
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