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General NPI Number Information
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NPI Number | 1285084053
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Entity Type | Individual
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Provider Name | EVERLAINES DE LA CARIDAD CHAPMAN VILTRES ADNP
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Gender | Female
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Dates
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Enumeration Date | 06/13/2016
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 1040 HAVEMEYER AVE
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City | BRONX
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State | NY
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Zip | 10462-5382
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Country | US
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Telephone | 415-504-4241
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Fax |
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Provider Business Mailing Address
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Address Line | 1504 70TH ST
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City | NORTH BERGEN
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State | NJ
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Zip | 07047-3809
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Country | US
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Telephone | 415-504-4241
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 310748
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95124767
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 9470347
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 727358
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 26NR21742700
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License Number State | NJ
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