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General NPI Number Information
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NPI Number | 1750620613
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Entity Type | Organization
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Legal Business Name | JOANNE LAMONICA MD PC
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Dates
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Enumeration Date | 02/12/2013
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Last Update Date | 08/13/2013
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Provider Practice Location Address
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Address Line | 750 MONTAUK HWY
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City | WEST ISLIP
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State | NY
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Zip | 11795-4411
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Country | US
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Telephone | 631-620-3222
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Fax | 631-376-0024
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Provider Business Mailing Address
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Address Line | 750 MONTAUK HWY
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City | WEST ISLIP
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State | NY
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Zip | 11795-4411
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Country | US
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Telephone | 631-620-3222
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Fax | 631-376-0024
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOANNE MARY LAMONICA
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Credential |
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Telephone | 631-620-3222
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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 | 201950
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License Number State | NY
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