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General NPI Number Information
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NPI Number | 1124353438
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Entity Type | Individual
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Provider Name | AMALIA PER NP
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Gender | Female
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Dates
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Enumeration Date | 10/05/2009
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Last Update Date | 08/28/2024
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Provider Practice Location Address
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Address Line | 275 W MERRICK RD
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City | FREEPORT
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State | NY
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Zip | 11520-3346
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Country | US
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Telephone | 718-362-1403
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Fax | 718-362-1651
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Provider Business Mailing Address
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Address Line | 34 HEMPSTEAD AVE
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City | HEMPSTEAD
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State | NY
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Zip | 11550-4734
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Country | US
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Telephone | 917-306-6054
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Fax | 718-414-1651
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 401227
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 401227
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F306691
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License Number State | NY
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