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General NPI Number Information
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NPI Number | 1790804599
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Entity Type | Organization
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Legal Business Name | CAROL PUCEK, N. P., P.C.
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 510 HAIGHT AVE STE 102
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City | POUGHKEEPSIE
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State | NY
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Zip | 12603-2464
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Country | US
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Telephone | 845-485-3506
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Fax | 845-485-8780
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Provider Business Mailing Address
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Address Line | 4 HEMLOCK HOLLOW RD
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City | HOPEWELL JUNCTION
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State | NY
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Zip | 12533-7402
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Country | US
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Telephone | 845-227-6884
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Fax | 845-227-6884
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MRS. CAROL L. PUCEK
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Credential | APRN
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Telephone | 845-227-6884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | F400301
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 266501
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License Number State | NY
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