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General NPI Number Information
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NPI Number | 1225755242
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Entity Type | Individual
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Provider Name | OSWALDO ALBERTO LUCIANO NP
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Gender | Male
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Dates
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Enumeration Date | 10/20/2022
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 1468 MADISON AVE # 1144
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City | NEW YORK
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State | NY
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Zip | 10029-6508
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Country | US
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Telephone | 646-379-6877
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Fax |
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Provider Business Mailing Address
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Address Line | 169 MADISON AVE STE 15555
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City | NEW YORK
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State | NY
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Zip | 10016-5101
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Country | US
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Telephone | 646-761-4843
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 658054
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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 | 356335
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License Number State | NY
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