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General NPI Number Information
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NPI Number | 1588309793
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Entity Type | Organization
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Legal Business Name | LAURA CASSIDY NP IN ADULT HEALTH PLLC
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Dates
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Enumeration Date | 05/02/2022
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Last Update Date | 05/02/2022
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Provider Practice Location Address
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Address Line | 64 DEVON RD
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City | PATTERSON
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State | NY
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Zip | 12563-2518
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Country | US
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Telephone | 914-232-5101
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Fax |
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Provider Business Mailing Address
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Address Line | 64 DEVON RD
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City | PATTERSON
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State | NY
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Zip | 12563-2518
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | NP
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Name | LAURA CASSIDY
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Credential |
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Telephone | 914-413-4810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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