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General NPI Number Information
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NPI Number | 1538359047
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Entity Type | Individual
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Provider Name | ANNE CECILE DADARRIA RN FNP
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Gender | Female
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Dates
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Enumeration Date | 07/31/2007
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Last Update Date | 07/31/2007
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Provider Practice Location Address
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Address Line | 26 WEST ST
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City | NEWBURGH
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State | NY
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Zip | 12550-4217
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Country | US
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Telephone | 845-562-5778
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Fax |
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Provider Business Mailing Address
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Address Line | 30 ALAN ST
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City | STONE RIDGE
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State | NY
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Zip | 12484-5118
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Country | US
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Telephone | 845-687-0823
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 320312-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F330300-1
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License Number State | NY
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