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General NPI Number Information
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NPI Number | 1134937220
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Entity Type | Organization
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Legal Business Name | EIGHTY 8TH NP IN ADULT HEALTH P.C
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Dates
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Enumeration Date | 12/21/2024
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 1817 FLATBUSH AVE
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City | BROOKLYN
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State | NY
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Zip | 11210-4854
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Country | US
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Telephone | 347-636-4005
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Fax |
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Provider Business Mailing Address
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Address Line | 1214 E 88TH ST APT 1
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City | BROOKLYN
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State | NY
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Zip | 11236-4916
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Country | US
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Telephone | 347-636-4005
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. MARIE GUERLINE PAUL
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Credential | NP
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Telephone | 347-636-4005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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