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General NPI Number Information
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NPI Number | 1023443116
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Entity Type | Individual
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Provider Name | EFRAT LAMANDRE NP
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Gender | Female
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Dates
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Enumeration Date | 09/06/2013
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Last Update Date | 03/26/2018
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Provider Practice Location Address
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Address Line | 209 STEINWAY AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10314-4820
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Country | US
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Telephone | 718-698-6700
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Fax |
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Provider Business Mailing Address
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Address Line | 45 BRAISTED AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10314-6142
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Country | US
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Telephone | 718-598-2722
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ00455000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 338371
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License Number State | NY
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