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General NPI Number Information
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NPI Number | 1508964412
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Entity Type | Organization
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Legal Business Name | CONTINENCE MANAGEMENT LLC
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6 AITKEN AVE
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City | HUDSON
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State | NY
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Zip | 12534-2602
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Country | US
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Telephone | 518-929-0041
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Fax |
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Provider Business Mailing Address
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Address Line | 6 AITKEN AVE
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City | HUDSON
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State | NY
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Zip | 12534-2602
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Country | US
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Telephone | 518-929-0041
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MAUREEN GARA
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Credential | NP
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Telephone | 518-929-0041
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | F420638
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License Number State | NY
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