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General NPI Number Information
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NPI Number | 1003182684
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Entity Type | Individual
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Provider Name | JANET R STODDART RN
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Gender | Female
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Dates
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Enumeration Date | 03/28/2012
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Last Update Date | 03/28/2012
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Provider Practice Location Address
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Address Line | 74-30 COMMONWEALTH BLVD
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City | BELLROSE
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State | NY
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Zip | 11426
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Country | US
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Telephone | 718-468-5606
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Fax | 718-468-6005
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Provider Business Mailing Address
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Address Line | 7430 COMMONWEALTH BLVD
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City | BELLEROSE
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State | NY
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Zip | 11426-1800
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Country | US
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Telephone | 718-468-5606
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Fax | 718-468-6005
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 4777700
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License Number State | NY
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