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General NPI Number Information
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NPI Number | 1760041297
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Entity Type | Organization
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Legal Business Name | TRUE DERMATOLOGY PLLC
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Dates
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Enumeration Date | 06/09/2019
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Last Update Date | 05/05/2020
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Provider Practice Location Address
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Address Line | 54 W 21ST ST RM 307
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City | NEW YORK
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State | NY
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Zip | 10010-7373
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Country | US
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Telephone | 466-397-6377
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Fax | 772-783-1002
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Provider Business Mailing Address
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Address Line | 54 W 21ST ST RM 307
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City | NEW YORK
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State | NY
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Zip | 10010-7373
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Country | US
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Telephone | 646-397-6377
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Fax | 772-783-1002
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. AMY SPIZUOCO
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Credential | DO
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Telephone | 917-658-7018
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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