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General NPI Number Information
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NPI Number | 1265941967
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Entity Type | Individual
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Provider Name | DENISE ANGELIQUE PEREZ NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 09/25/2017
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Last Update Date | 08/11/2021
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Provider Practice Location Address
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Address Line | 408 W 57TH ST STE 1C
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City | NEW YORK
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State | NY
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Zip | 10019-3053
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Country | US
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Telephone | 914-294-4509
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Fax |
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Provider Business Mailing Address
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Address Line | 95-117 RAVINE AVE
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City | YONKERS
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State | NY
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Zip | 10701-2165
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Country | US
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Telephone | 914-457-1963
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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 | F340051
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License Number State | NY
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