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General NPI Number Information
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NPI Number | 1174001549
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Entity Type | Individual
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Provider Name | JULIYA ROITMAN RN, AGPCNP
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Gender | Female
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Dates
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Enumeration Date | 07/30/2018
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Last Update Date | 08/07/2018
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Provider Practice Location Address
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Address Line | 275 7TH AVE FL 2
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City | NEW YORK
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State | NY
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Zip | 10001
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Country | US
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Telephone | 212-675-9332
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Fax | 212-604-3844
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Provider Business Mailing Address
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Address Line | 275 7TH AVE FL 2
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City | NEW YORK
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State | NY
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Zip | 10001-6884
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Country | US
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Telephone | 212-675-9332
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Fax | 212-604-3844
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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 | F308742
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License Number State | NY
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