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General NPI Number Information
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NPI Number | 1831404268
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Entity Type | Individual
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Provider Name | CAROL JAN-NETTE PRAY RN
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Gender | Female
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Dates
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Enumeration Date | 08/10/2010
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 665 STONELEIGH AVE STE 202
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City | CARMEL
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State | NY
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Zip | 10512-4625
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Country | US
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Telephone | 845-279-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 64 CUNNINGHAM LN
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City | PAWLING
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State | NY
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Zip | 12564-2041
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Country | US
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Telephone | 845-867-3486
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R55896
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License Number State | CT
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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 | 499594
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License Number State | NY
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