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General NPI Number Information
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NPI Number | 1770630030
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Entity Type | Organization
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Legal Business Name | MASSAPEQUA UFSD
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 05/13/2009
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Provider Practice Location Address
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Address Line | 4925 MERRICK RD
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City | MASSAPEQUA
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State | NY
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Zip | 11758-6201
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Country | US
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Telephone | 516-797-6157
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Fax |
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Provider Business Mailing Address
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Address Line | 4925 MERRICK RD
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City | MASSAPEQUA
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State | NY
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Zip | 11758-6201
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRINCIPAL ACCOUNT CLERK
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Name | CAROLE A. PYNE
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Credential |
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Telephone | 516-797-6157
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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