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NPI 1649306671

NPI 1649306671 : TEEMA PAULINO PT : EAST MEADOW, NY

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General NPI Number Information
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    NPI Number           |    1649306671
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    Entity Type          |    Individual 
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    Provider Name        |    TEEMA PAULINO PT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/26/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    2410 HEMPSTEAD TPKE 
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    City                 |    EAST MEADOW
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    State                |    NY
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    Zip                  |    11554-2031
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    Country              |    US
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    Telephone            |    516-735-5300
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    Fax                  |    516-735-8006
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Provider Business Mailing Address
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    Address Line         |    110 BELTAGH PLACE 
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    City                 |    NORTH BELLMORE
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    State                |    NY
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    Zip                  |    11710
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    Country              |    US
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    Telephone            |    516-804-5726
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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        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    024653
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    License Number State |    NY
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