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General NPI Number Information
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NPI Number | 1245183235
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Entity Type | Individual
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Provider Name | ANTONIO HILAIRE
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Gender | Male
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Dates
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Enumeration Date | 02/18/2026
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 21451 JAMAICA AVE # 11428
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City | QUEENS VILLAGE
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State | NY
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Zip | 11428-1733
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Country | US
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Telephone | 929-289-6498
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Fax |
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Provider Business Mailing Address
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Address Line | 21451 JAMAICA AVE # 11428
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City | JAMAICA
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State | NY
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Zip | 11428-1733
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Country | US
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Telephone | 929-289-6498
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 649526
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License Number State | NY
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