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General NPI Number Information
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NPI Number | 1740625698
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Entity Type | Individual
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Provider Name | MS. PATRICIA R. CURTIS
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Gender | Female
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Dates
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Enumeration Date | 05/06/2013
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Last Update Date | 05/09/2013
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Provider Practice Location Address
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Address Line | 96 ROOSEVELT AVE.
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City | VALLEY STREAM
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State | NY
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Zip | 11581
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Country | US
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Telephone | 516-791-6576
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Fax |
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Provider Business Mailing Address
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Address Line | 96 ROOSEVELT AVE
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City | VALLEY STREAM
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State | NY
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Zip | 11581-1134
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Country | US
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Telephone | 516-791-6576
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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 | 1306140
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License Number State | NY
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