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General NPI Number Information
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NPI Number | 1235339110
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Entity Type | Individual
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Provider Name | REGINA MAIELI FNP
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Gender | Female
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 02/03/2012
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Provider Practice Location Address
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Address Line | 10 UNION SQ E SUITE 5D
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City | NEW YORK
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State | NY
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Zip | 10003-3314
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Country | US
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Telephone | 212-844-8383
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 95000-2452
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City | PHILADELPHIA
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State | PA
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Zip | 19195-2452
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Country | US
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Telephone | 212-844-8383
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F332376-1
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License Number State | NY
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