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General NPI Number Information
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NPI Number | 1265919765
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Entity Type | Individual
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Provider Name | NICOLE MARIE LOPEZ-CANIZARES
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Gender | Female
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Dates
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Enumeration Date | 07/26/2018
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 245 5TH AVE STE 308
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City | NEW YORK
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State | NY
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Zip | 10016-8728
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Country | US
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Telephone | 646-648-2307
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Fax |
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Provider Business Mailing Address
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Address Line | 230 20TH ST APT 2F
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City | BROOKLYN
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State | NY
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Zip | 11232-0695
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Country | US
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Telephone | 646-648-2307
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 322497
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License Number State | NY
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