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General NPI Number Information
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NPI Number | 1598840662
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Entity Type | Individual
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Provider Name | GINA A. DELL'ARCIPRETE O.D.
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Gender | Female
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 04/29/2010
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Provider Practice Location Address
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Address Line | 811 CHESTNUT RIDGE RD
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City | CHESTNUT RIDGE
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State | NY
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Zip | 10977-6330
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Country | US
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Telephone | 845-352-2020
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Fax | 845-352-2097
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Provider Business Mailing Address
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Address Line | 26 EASTBOURNE DR
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City | CHESTNUT RIDGE
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State | NY
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Zip | 10977-6403
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Country | US
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Telephone | 845-352-3538
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | VUT005216
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License Number State | NY
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