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General NPI Number Information
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NPI Number | 1285912634
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Entity Type | Individual
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Provider Name | NICOLE BETH COSTIGAN RPA-C
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Gender | Female
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Dates
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Enumeration Date | 08/02/2011
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Last Update Date | 09/10/2019
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Provider Practice Location Address
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Address Line | 1275 YORK AVE # MRI1027
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City | NEW YORK
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State | NY
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Zip | 10065
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Country | US
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Telephone | 212-639-3099
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Fax | 212-717-3677
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Provider Business Mailing Address
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Address Line | 1275 YORK AVE # 124
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City | NEW YORK
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State | NY
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Zip | 10065-6007
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Country | US
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Telephone | 212-639-5985
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Fax | 929-321-7122
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | P81199
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License Number State | NY
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