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General NPI Number Information
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NPI Number | 1477598605
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Entity Type | Organization
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Legal Business Name | HUDSON VALLEY PSYCHIATRIC ASSOCIATES LLC
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Dates
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Enumeration Date | 06/19/2006
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Last Update Date | 09/30/2015
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Provider Practice Location Address
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Address Line | 291 WALL ST
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City | KINGSTON
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State | NY
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Zip | 12401-3849
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Country | US
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Telephone | 845-339-3736
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Fax | 845-339-3736
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Provider Business Mailing Address
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Address Line | 291 WALL ST
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City | KINGSTON
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State | NY
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Zip | 12401-3849
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Country | US
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Telephone | 845-339-3736
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Fax | 845-339-3736
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | LISA BASCONE
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Credential |
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Telephone | 845-339-3736
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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