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NPI 1154966158

NPI 1154966158 : CHRISTINA ANN CALABRO RN : BRONX, NY

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General NPI Number Information
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    NPI Number           |    1154966158
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTINA ANN CALABRO RN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/13/2019
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    Last Update Date     |    11/13/2019
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Provider Practice Location Address
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    Address Line         |    329 E 149TH ST FL 4 
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    City                 |    BRONX
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    State                |    NY
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    Zip                  |    10451-5626
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    Country              |    US
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    Telephone            |    718-769-2698
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    59 PROL PL 
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    City                 |    STATEN ISLAND
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    State                |    NY
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    Zip                  |    10312-6430
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    Country              |    US
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    Telephone            |    347-838-0570
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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        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    775035
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    License Number State |    NY
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