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General NPI Number Information
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NPI Number | 1588044309
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Entity Type | Organization
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Legal Business Name | NEW GENERATION
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Dates
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Enumeration Date | 06/06/2015
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Last Update Date | 06/06/2015
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Provider Practice Location Address
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Address Line | 1545 ROUTE 52
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City | FISHKILL
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State | NY
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Zip | 12524-1627
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Country | US
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Telephone | 845-896-2327
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Fax |
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Provider Business Mailing Address
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Address Line | 1545 ROUTE 52
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City | FISHKILL
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State | NY
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Zip | 12524-1627
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Country | US
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Telephone | 845-896-2327
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARIA FREDERICK
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Credential |
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Telephone | 845-896-2327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 21NE1023382
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License Number State | NY
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