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General NPI Number Information
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NPI Number | 1063377786
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Entity Type | Individual
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Provider Name | MARIANNE FAITH ENRILE DEQUINA FNP-C
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Gender | Female
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Dates
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Enumeration Date | 12/16/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 225 BROADWAY STE 910
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City | NEW YORK
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State | NY
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Zip | 10007-3008
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Country | US
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Telephone | 212-571-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 3281 45TH ST APT 2R
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City | ASTORIA
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State | NY
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Zip | 11103-1972
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Country | US
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Telephone | 929-469-9366
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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 | F358319-01
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License Number State | NY
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