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NPI 1902514581

NPI 1902514581 : ANNE M PADEN N P P C : WAPPINGERS FALLS, NY

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General NPI Number Information
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    NPI Number           |    1902514581
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    Entity Type          |    Organization 
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    Legal Business Name  |    ANNE M PADEN N P P C 
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Dates
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    Enumeration Date     |    11/11/2022
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    Last Update Date     |    11/11/2022
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Provider Practice Location Address
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    Address Line         |    11 MARSHALL RD STE 2L 
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    City                 |    WAPPINGERS FALLS
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    State                |    NY
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    Zip                  |    12590-4134
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    Country              |    US
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    Telephone            |    845-298-4350
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    Fax                  |    845-298-4354
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Provider Business Mailing Address
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    Address Line         |    11 MARSHALL RD STE 2L 
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    City                 |    WAPPINGERS FALLS
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    State                |    NY
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    Zip                  |    12590-4134
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    Country              |    US
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    Telephone            |    845-298-4350
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    Fax                  |    845-298-4354
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ANNE M PADEN 
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    Credential           |    NP
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    Telephone            |    845-325-3806
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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