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General NPI Number Information
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NPI Number | 1710121249
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Entity Type | Individual
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Provider Name | KELLY FIORE MD
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Gender | Female
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Dates
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Enumeration Date | 04/28/2009
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Last Update Date | 06/11/2012
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Provider Practice Location Address
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Address Line | 75-59 263RD STREET THE ZUCKER-HILLSIDE HOSPITAL, ADULT OUTPATIENT PSYCHIATRY, SLOMAN-LOWENSTEIN BUILDING
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City | GLEN OAKS
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State | NY
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Zip | 11004
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Country | US
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Telephone | 718-470-8080
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Fax |
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Provider Business Mailing Address
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Address Line | 75-59 263RD STREET THE ZUCKER-HILLSIDE HOSPITAL, ADULT OUTPATIENT PSYCHIATRY, SLOMAN-LOWENSTEIN BUILDING
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City | GLEN OAKS
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State | NY
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Zip | 11004
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Country | US
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Telephone | 718-470-8080
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 253309-1
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License Number State | NY
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