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General NPI Number Information
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NPI Number | 1265638498
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Entity Type | Individual
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Provider Name | TONI AGNES FERELLO R.N.BSN,HCQM
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Gender | Female
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7 MIDHAMPTON CT. E. QUOGUE
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City | LONG ISLAND
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State | NY
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Zip | 11959
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Country | US
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Telephone | 631-653-9605
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Fax |
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Provider Business Mailing Address
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Address Line | 154 VILLAGE DR
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City | HAUPPAUGE
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State | NY
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Zip | 11788-3228
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Country | US
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Telephone | 631-979-3425
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Fax | 631-979-3425
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 394292-1
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License Number State | NY
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