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General NPI Number Information
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NPI Number | 1053855726
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Entity Type | Individual
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Provider Name | DENISE LOMELE
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Gender | Female
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Dates
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Enumeration Date | 12/14/2016
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Last Update Date | 12/14/2016
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Provider Practice Location Address
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Address Line | 8974 162ND ST
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City | JAMAICA
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State | NY
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Zip | 11432-5011
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Country | US
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Telephone | 718-526-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 16944 24TH RD
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City | WHITESTONE
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State | NY
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Zip | 11357-4128
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Country | US
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Telephone | 718-352-5454
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 700381
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License Number State | NY
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