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General NPI Number Information
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NPI Number | 1104424290
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Entity Type | Organization
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Legal Business Name | NANCY CANDIO DUPLESSY NURSE PRACTITIONER IN FAMILY HEALTH PLLC
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Dates
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Enumeration Date | 10/12/2020
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Last Update Date | 10/12/2020
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Provider Practice Location Address
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Address Line | 11734 240TH ST
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City | ELMONT
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State | NY
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Zip | 11003-4016
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Country | US
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Telephone | 516-360-4327
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Fax | 516-285-6502
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Provider Business Mailing Address
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Address Line | 11734 240TH ST
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City | ELMONT
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State | NY
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Zip | 11003-4016
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Country | US
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Telephone | 516-360-4327
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NANCY CANDIO DUPLESSY
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Credential | FNP
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Telephone | 516-360-4327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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