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General NPI Number Information
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NPI Number | 1164162483
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Entity Type | Organization
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Legal Business Name | WOODMERE WOMENS HEALTH NP PLLC
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Dates
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Enumeration Date | 04/01/2022
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Last Update Date | 04/01/2022
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Provider Practice Location Address
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Address Line | 985 NORTHFIELD RD
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City | WOODMERE
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State | NY
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Zip | 11598-1619
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Country | US
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Telephone | 516-984-6810
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Fax |
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Provider Business Mailing Address
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Address Line | 985 NORTHFIELD RD
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City | WOODMERE
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State | NY
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Zip | 11598-1619
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Country | US
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Telephone | 516-984-6810
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Fax |
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Authorized Official
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Title or Position | NP
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Name | MS. ILANA DEUTSCH
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Credential | NP
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Telephone | 516-984-6810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number |
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License Number State |
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