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NPI 1952664476

NPI 1952664476 : MARYANN V SCHIPANI MS : VALHALLA, NY

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General NPI Number Information
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    NPI Number           |    1952664476
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    Entity Type          |    Individual 
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    Provider Name        |    MARYANN V SCHIPANI MS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/19/2012
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    Last Update Date     |    05/27/2013
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Provider Practice Location Address
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    Address Line         |    100 WOODS RD 
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    City                 |    VALHALLA
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    State                |    NY
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    Zip                  |    10595-1530
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    Country              |    US
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    Telephone            |    914-555-1212
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    35 BROADWAY 1A
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    City                 |    PLEASANTVILLE
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    State                |    NY
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    Zip                  |    10570-1728
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    Country              |    US
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    Telephone            |    914-610-6722
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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       |    1207823
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    License Number State |    NY
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