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General NPI Number Information
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NPI Number | 1184275554
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Entity Type | Individual
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Provider Name | MARGARETTE DOUGLAS RN
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Gender | Female
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Dates
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Enumeration Date | 09/26/2019
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Last Update Date | 09/26/2019
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Provider Practice Location Address
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Address Line | 1500 WATERS PL # 10461
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City | BRONX
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State | NY
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Zip | 10461-2723
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Country | US
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Telephone | 929-348-3465
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Fax | 929-348-3182
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Provider Business Mailing Address
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Address Line | BRONX PSYCHIATRIC CENTER, 1500 WATERS PLACE
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City | BRONX
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State | NY
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Zip | 10461-2723
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Country | US
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Telephone | 929-348-3465
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Fax | 929-348-3182
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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 | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | 439378
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License Number State | NY
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