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General NPI Number Information
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NPI Number | 1265595185
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Entity Type | Individual
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Provider Name | JENNIFER ANNE SAUL FNP
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Gender | Female
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 05/03/2013
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Provider Practice Location Address
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Address Line | 5505 NESCONSET HWY
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City | MOUNT SINAI
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State | NY
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Zip | 11766-2037
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Country | US
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Telephone | 631-509-5250
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Fax |
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Provider Business Mailing Address
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Address Line | 7 GALEHURST LN
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City | SAINT JAMES
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State | NY
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Zip | 11780-3005
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Country | US
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Telephone | 401-474-6469
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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 | F337931-1
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License Number State | NY
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