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General NPI Number Information
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NPI Number | 1255049714
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Entity Type | Individual
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Provider Name | MARIE-JO LOUIS NP - BC
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Gender | Female
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Dates
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Enumeration Date | 11/14/2022
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 600 E 233RD ST
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City | BRONX
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State | NY
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Zip | 10466-2604
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Country | US
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Telephone | 718-920-9536
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Fax |
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Provider Business Mailing Address
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Address Line | 4626 WHITE PLAINS RD
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City | BRONX
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State | NY
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Zip | 10470-1610
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Country | US
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Telephone | 718-547-4077
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Fax | 718-547-4099
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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 | 345421
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License Number State | NY
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