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General NPI Number Information
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NPI Number | 1780206144
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Entity Type | Individual
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Provider Name | MICHELLE CATHERINE DIPAOLO
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Gender | Female
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Dates
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Enumeration Date | 05/08/2020
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Last Update Date | 01/24/2022
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Provider Practice Location Address
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Address Line | 130 E 67TH ST
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City | NEW YORK
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State | NY
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Zip | 10065-6136
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Country | US
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Telephone | 212-392-6158
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Fax |
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Provider Business Mailing Address
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Address Line | 168 GRANTWOOD AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10312-1954
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Country | US
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Telephone | 929-314-6959
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 025273
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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