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General NPI Number Information
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NPI Number | 1306142229
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Entity Type | Individual
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Provider Name | EULALIA J D'SOUZA NP
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Gender | Female
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Dates
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Enumeration Date | 02/10/2011
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Last Update Date | 05/03/2021
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Provider Practice Location Address
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Address Line | 177 FORT WASHINGTON AVE
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City | NEW YORK
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State | NY
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Zip | 10032-3733
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Country | US
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Telephone | 212-342-4260
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Fax |
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Provider Business Mailing Address
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Address Line | 410 W 260TH ST
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City | BRONX
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State | NY
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Zip | 10471-1820
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Country | US
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Telephone | 347-607-4319
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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 | F336241
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License Number State | NY
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