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NPI 1508284357

NPI 1508284357 : DINA ELACHI : POUGHKEEPSIE, NY

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General NPI Number Information
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    NPI Number           |    1508284357
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    Entity Type          |    Individual 
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    Provider Name        |    DINA ELACHI
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/30/2014
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    Last Update Date     |    05/14/2025
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Provider Practice Location Address
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    Address Line         |    45 READE PL 
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    City                 |    POUGHKEEPSIE
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    State                |    NY
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    Zip                  |    12601-3947
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    Country              |    US
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    Telephone            |    845-454-8500
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1 WILLOW BND 
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    City                 |    POUGHKEEPSIE
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    State                |    NY
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    Zip                  |    12601-5039
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    Country              |    US
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    Telephone            |    973-460-8800
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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        |    2080N0001X
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    Taxonomy Name        |    Neonatal-Perinatal Medicine Physician
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    License Number       |    77286
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    License Number State |    CT
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Taxonomy #2
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    Taxonomy Code        |    2080N0001X
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    Taxonomy Name        |    Neonatal-Perinatal Medicine Physician
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    License Number       |    288101
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    License Number State |    NY
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