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General NPI Number Information
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NPI Number | 1013643477
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Entity Type | Individual
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Provider Name | TALITA APARECIDA PERAINO NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 07/28/2022
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Last Update Date | 07/28/2022
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Provider Practice Location Address
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Address Line | 300 E 56TH ST APT 26C
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City | NEW YORK
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State | NY
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Zip | 10022-9537
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Country | US
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Telephone | 201-220-2815
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Fax |
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Provider Business Mailing Address
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Address Line | 300 E 56TH ST APT 26C
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City | NEW YORK
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State | NY
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Zip | 10022-9537
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Country | US
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Telephone | 201-220-2815
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F310536-01
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License Number State | NY
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