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General NPI Number Information
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NPI Number | 1164042578
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Entity Type | Individual
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Provider Name | JEANNIE-ANNE PARLAN NP
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Gender | Female
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Dates
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Enumeration Date | 04/26/2020
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 13750 JAMAICA AVE
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City | JAMAICA
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State | NY
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Zip | 11435-3610
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Country | US
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Telephone | 718-298-5100
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Fax |
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Provider Business Mailing Address
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Address Line | 20628 45TH RD
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City | BAYSIDE
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State | NY
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Zip | 11361-3121
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Country | US
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Telephone | 718-785-6720
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F309365-01
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License Number State | NY
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