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General NPI Number Information
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NPI Number | 1518167931
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Entity Type | Organization
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Legal Business Name | HUDSON VALLEY MEDICAL HOUSE CALLS, P.C.
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Dates
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Enumeration Date | 07/23/2007
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Last Update Date | 07/23/2007
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Provider Practice Location Address
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Address Line | 685 SOUTH ST
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City | NEWBURGH
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State | NY
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Zip | 12550-4117
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Country | US
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Telephone | 845-534-0066
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Fax | 845-784-1594
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Provider Business Mailing Address
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Address Line | 367 WINDSOR HWY SUITE 435
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City | NEW WINDSOR
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State | NY
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Zip | 12553-7900
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Country | US
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Telephone | 845-534-0066
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Fax | 845-784-1594
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. RAYMOND N MOTT III
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Credential | PA-C
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Telephone | 845-534-0066
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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 | 008069
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 223778
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License Number State | NY
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