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General NPI Number Information
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NPI Number | 1275684144
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Entity Type | Individual
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Provider Name | ROSAIRE LAINE NP
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Gender | Female
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 2376 HEMPSTEAD TPKE
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City | EAST MEADOW
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State | NY
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Zip | 11554-2030
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Country | US
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Telephone | 516-273-0163
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Fax |
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Provider Business Mailing Address
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Address Line | 10452 NW 48TH MNR
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City | CORAL SPRINGS
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State | FL
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Zip | 33076-1730
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Country | US
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Telephone | 516-273-0163
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Fax | 866-697-4617
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 11010650
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 304165
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License Number State | NY
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