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General NPI Number Information
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NPI Number | 1225430549
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Entity Type | Individual
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Provider Name | JAMAICA MARIAE DEL ROSARIO TOBIAS DNP, AGACNP, FNP
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Gender | Female
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Dates
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Enumeration Date | 09/17/2014
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Last Update Date | 07/21/2020
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Provider Practice Location Address
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Address Line | 214 CHURCH ST
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City | CARTHAGE
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State | NY
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Zip | 13619-1295
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Country | US
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Telephone | 646-464-2634
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Fax |
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Provider Business Mailing Address
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Address Line | 1666 MIDLAND DR
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City | EAST MEADOW
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State | NY
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Zip | 11554-5022
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Country | US
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Telephone | 646-464-2634
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 431753
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 346026
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 686021
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License Number State | NY
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