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General NPI Number Information
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NPI Number | 1902121148
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Entity Type | Individual
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Provider Name | VANESSA ARCURI P.A.
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Gender | Female
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Dates
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Enumeration Date | 03/31/2010
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Last Update Date | 05/24/2019
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Provider Practice Location Address
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Address Line | 34 3RD AVE # 171
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City | NEW YORK
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State | NY
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Zip | 10003-5504
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Country | US
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Telephone | 844-384-2779
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Fax | 303-942-6679
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Provider Business Mailing Address
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Address Line | 160 1ST ST APT 305
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City | JERSEY CITY
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State | NJ
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Zip | 07302-3089
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Country | US
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Telephone | 347-247-8717
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 013907
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License Number State | NY
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