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General NPI Number Information
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NPI Number | 1306808431
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Entity Type | Individual
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Provider Name | LUZ P. GARGIULLO NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 04/04/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1099 OLYMPIA RD
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City | NORTH BELLMORE
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State | NY
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Zip | 11710-1938
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Country | US
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Telephone | 516-729-9261
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Fax | 516-221-6881
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Provider Business Mailing Address
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Address Line | 1099 OLYMPIA RD
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City | NORTH BELLMORE
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State | NY
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Zip | 11710-1938
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Country | US
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Telephone | 516-729-9261
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Fax | 516-221-6881
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | F340044-2
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | F34-00442
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | F340044-1
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F300398-01
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License Number State | NY
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