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General NPI Number Information
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NPI Number | 1477847879
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Entity Type | Individual
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Provider Name | RICHARD AUGUSTINE GIUDICE RPA-C
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Gender | Male
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Dates
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Enumeration Date | 06/02/2011
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Last Update Date | 06/02/2011
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Provider Practice Location Address
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Address Line | 1 GUSTAVE L LEVY PL BOX 1116
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City | NEW YORK
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State | NY
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Zip | 10029-6574
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Country | US
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Telephone | 212-824-8100
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Fax | 212-996-2230
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Provider Business Mailing Address
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Address Line | 603 GREENWICH CT
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City | EAST WINDSOR
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State | NJ
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Zip | 08520-5612
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Country | US
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Telephone | 609-468-8382
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 014688
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00256600
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License Number State | NJ
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