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General NPI Number Information
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NPI Number | 1043544943
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Entity Type | Individual
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Provider Name | MARIA ELENA MCTAGGART NP
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Gender | Female
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Dates
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Enumeration Date | 09/24/2009
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Last Update Date | 03/17/2020
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Provider Practice Location Address
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Address Line | 130 ROSE AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10306-2241
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Country | US
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Telephone | 718-980-1553
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Fax | 877-669-6967
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Provider Business Mailing Address
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Address Line | 417 E 7TH AVE
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City | ROSELLE
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State | NJ
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Zip | 07203-2214
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Country | US
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Telephone | 973-943-8339
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | F305156
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 305156
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License Number State | NY
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