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General NPI Number Information
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NPI Number | 1801296165
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Entity Type | Individual
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Provider Name | ARLEEN ESCUDERO
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Gender | Female
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Dates
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Enumeration Date | 08/23/2014
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Last Update Date | 08/23/2014
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Provider Practice Location Address
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Address Line | 159 W 1ST ST
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City | OSWEGO
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State | NY
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Zip | 13126-2045
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Country | US
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Telephone | 315-342-9575
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Fax |
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Provider Business Mailing Address
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Address Line | 26229 LIMESTONE RD
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City | REDWOOD
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State | NY
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Zip | 13679-4100
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Country | US
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Telephone | 315-921-1234
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 838415141
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 838414141
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 852044141
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 852045141
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License Number State | NY
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