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General NPI Number Information
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NPI Number | 1164264685
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Entity Type | Individual
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Provider Name | ALCIBIADES ENRIQUE OROZCO FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 06/07/2024
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Last Update Date | 06/19/2024
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Provider Practice Location Address
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Address Line | 41 E POST RD
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City | WHITE PLAINS
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State | NY
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Zip | 10601-4699
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Country | US
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Telephone | 914-681-0700
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Fax |
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Provider Business Mailing Address
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Address Line | 200 BROAD ST APT 2444
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City | STAMFORD
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State | CT
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Zip | 06901-2074
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Country | US
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Telephone | 914-659-1425
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | F353967-01
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License Number State | NY
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