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General NPI Number Information
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NPI Number | 1730314394
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Entity Type | Individual
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Provider Name | YVONNE FANO REID RN
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Gender | Female
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Dates
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Enumeration Date | 05/26/2009
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Last Update Date | 08/03/2009
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Provider Practice Location Address
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Address Line | 107 GREENKILL AVE
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City | KINGSTON
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State | NY
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Zip | 12401-5441
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Country | US
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Telephone | 845-339-6683
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Fax | 845-339-7319
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Provider Business Mailing Address
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Address Line | 200 SCHILDKNECHT RD
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City | HURLEY
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State | NY
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Zip | 12443-6016
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Country | US
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Telephone | 845-684-5122
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 390355
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License Number State | NY
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