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General NPI Number Information
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NPI Number | 1780653329
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Entity Type | Individual
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Provider Name | PATRICIA NAPOLITANO P.A.
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Gender | Female
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Dates
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Enumeration Date | 03/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1300 ROANOKE AVE
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City | RIVERHEAD
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State | NY
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Zip | 11901-2031
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Country | US
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Telephone | 631-548-6200
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Fax |
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Provider Business Mailing Address
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Address Line | 32 JERUSALEM HOLLOW RD
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City | MANORVILLE
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State | NY
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Zip | 11949-3123
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Country | US
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Telephone | 631-874-9520
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 006626-1
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License Number State | NY
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