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General NPI Number Information
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NPI Number | 1306389960
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Entity Type | Individual
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Provider Name | DINAH KRISTINE CHEONG GEONZON RN WHNP- BC
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Gender | Female
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Dates
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Enumeration Date | 11/29/2016
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Last Update Date | 01/26/2018
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Provider Practice Location Address
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Address Line | 2130 FORD ST 1ST FLR
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City | BROOKLYN
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State | NY
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Zip | 11229-5140
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Country | US
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Telephone | 718-676-1025
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Fax |
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Provider Business Mailing Address
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Address Line | 61 HARVARD DR
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City | HARTSDALE
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State | NY
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Zip | 10530-2006
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Country | US
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Telephone | 718-579-1737
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 421224
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License Number State | NY
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