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NPI Code Detail

MEDICARE: REBECCA THORPE

MEDICARE:   REBECCA  THORPE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse309230NY

General Provider Information

NPI Number : 1114525565
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA THORPE
Provider Business Mailing Address
First Line : 45 COLLEGE LN
Second Line :
City : MILLBROOK
State : NY
Zip : 12545-5549
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 45 COLLEGE LN
Second Line :
City : MILLBROOK
State : NY
Zip : 12545-5549
Country : US
Telephone Number : 718-828-2666
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2020
Last Update Date : 10/16/2020

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Directions to “ REBECCA THORPE ” Practice Location

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