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General NPI Number Information
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NPI Number | 1962559096
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Entity Type | Individual
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Provider Name | PAUL GREGORY QUINN CNM
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Gender | Male
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 08/31/2010
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Provider Practice Location Address
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Address Line | 41 E POST RD
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City | WHITE PLAINS
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State | NY
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Zip | 10601-4607
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Country | US
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Telephone | 914-981-0600
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Fax | 914-681-2930
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Provider Business Mailing Address
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Address Line | 14 THIELLS RD
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City | STONY POINT
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State | NY
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Zip | 10980-3423
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Country | US
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Telephone | 845-942-2160
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Fax | 845-786-3584
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 420668
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License Number State | NY
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