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General NPI Number Information
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NPI Number | 1578765517
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Entity Type | Organization
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Legal Business Name | ST. CATHERINE OF SIENA HOSPITAL
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 50 ROUTE 25A
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City | SMITHTOWN
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State | NY
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Zip | 11787-1348
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Country | US
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Telephone | 631-862-3693
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Fax |
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Provider Business Mailing Address
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Address Line | 112 HOBSON AVE
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City | SAINT JAMES
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State | NY
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Zip | 11780-3028
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Country | US
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Telephone | 631-676-6046
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Fax |
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | MRS. DENISE ELIZABETH RIGO
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Credential |
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Telephone | 631-676-6046
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 333708-1
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License Number State | NY
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