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General NPI Number Information
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NPI Number | 1104924851
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Entity Type | Individual
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Provider Name | MARIE MERCIE PIERRE NP
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/27/2015
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Provider Practice Location Address
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Address Line | 79-01 BROADWAY MANAGED CARE, D1-01
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City | ELMHURST
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State | NY
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Zip | 11373-1329
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Country | US
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Telephone | 718-334-1921
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Fax | 718-334-5958
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Provider Business Mailing Address
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Address Line | 246-07, 136TH ROAD
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City | NEW YORK
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State | NY
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Zip | 11422
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Country | US
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Telephone | 917-862-3093
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F303705
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License Number State | NY
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