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General NPI Number Information
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NPI Number | 1740294875
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Entity Type | Individual
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Provider Name | ALVETTA THOMPASIONAS P.A.
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Gender | Female
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 50 COURT ST SUITE 901
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City | BROOKLYN
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State | NY
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Zip | 11201-4859
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Country | US
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Telephone | 718-855-7707
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Fax | 718-855-7717
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Provider Business Mailing Address
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Address Line | 8335 139TH ST APT 5A
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City | BRIARWOOD
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State | NY
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Zip | 11435-1600
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Country | US
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Telephone | 718-441-9711
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 000-577-1
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License Number State | NY
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