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General NPI Number Information
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NPI Number | 1316521073
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Entity Type | Individual
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Provider Name | OLGA FAROLE NP
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Gender | Female
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Dates
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Enumeration Date | 05/10/2021
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | 611 NORTHERN BLVD
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City | GREAT NECK
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State | NY
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Zip | 11021-5207
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Country | US
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Telephone | 516-325-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 8315 116TH ST APT 4H
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City | RICHMOND HILL
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State | NY
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Zip | 11418-3425
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Country | US
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Telephone | 347-217-1704
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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 | 348310
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License Number State | NY
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