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General NPI Number Information
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NPI Number | 1124881164
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Entity Type | Individual
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Provider Name | GERALDINE SALAS NP
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Gender | Female
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Dates
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Enumeration Date | 02/01/2024
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Last Update Date | 02/01/2024
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Provider Practice Location Address
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Address Line | 1610 OLD COUNTRY RD
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City | WESTBURY
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State | NY
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Zip | 11590-5256
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Country | US
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Telephone | 516-228-4900
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Fax |
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Provider Business Mailing Address
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Address Line | 17 ABBOT LN
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City | HICKSVILLE
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State | NY
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Zip | 11801-4402
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Country | US
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Telephone | 917-999-8909
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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 | 2315222
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License Number State | NY
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