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General NPI Number Information
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NPI Number | 1497785406
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Entity Type | Individual
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Provider Name | NENITA TASCIOTTI M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 230 NORTH RD
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City | POUGHKEEPSIE
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State | NY
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Zip | 12601-1328
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Country | US
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Telephone | 845-486-3583
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Fax | 845-486-3599
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Provider Business Mailing Address
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Address Line | 53 REGGIES WAY
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City | LAGRANGEVILLE
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State | NY
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Zip | 12540-5966
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Country | US
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Telephone | 845-223-8054
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 107958
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License Number State | NY
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