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General NPI Number Information
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NPI Number | 1144550534
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Entity Type | Individual
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Provider Name | AGNIESZKA PABICH FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/06/2010
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Last Update Date | 01/06/2010
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Provider Practice Location Address
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Address Line | 1 GUSTAVE L LEVY PL
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City | NEW YORK
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State | NY
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Zip | 10029-6500
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Country | US
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Telephone | 212-241-2100
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Fax |
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Provider Business Mailing Address
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Address Line | 7229 MYRTLE AVE APT #1R
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City | GLENDALE
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State | NY
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Zip | 11385-7364
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Country | US
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Telephone | 917-613-5002
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 554101
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F336142-1
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License Number State | NY
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