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General NPI Number Information
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NPI Number | 1023284791
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Entity Type | Individual
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Provider Name | AYSE PERE N.P.
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Gender | Female
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Dates
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Enumeration Date | 05/02/2008
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Last Update Date | 08/06/2010
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Provider Practice Location Address
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Address Line | 117 MARYS AVE SUITE 201
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City | KINGSTON
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State | NY
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Zip | 12401-5849
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Country | US
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Telephone | 845-331-8146
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Fax | 845-331-3314
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Provider Business Mailing Address
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Address Line | 117 MARYS AVE SUITE 201
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City | KINGSTON
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State | NY
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Zip | 12401-5849
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Country | US
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Telephone | 845-331-8146
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Fax | 845-331-3314
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 334885
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License Number State | NY
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