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General NPI Number Information
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NPI Number | 1043675390
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Entity Type | Organization
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Legal Business Name | GERDA LAMOTHE, LLC
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Dates
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Enumeration Date | 12/30/2015
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Last Update Date | 12/31/2015
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Provider Practice Location Address
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Address Line | 51 ESSEX RD
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City | ELMONT
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State | NY
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Zip | 11003
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Country | US
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Telephone | 516-652-4383
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Fax |
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Provider Business Mailing Address
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Address Line | 51 ESSEX ROAD
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City | ELMONT
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State | NY
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Zip | 11003
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Country | US
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Telephone | 516-652-4383
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Fax | 516-358-1256
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MS. GERDA LAMOTHE
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Credential |
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Telephone | 516-652-4383
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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 |
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License Number State |
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