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General NPI Number Information
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NPI Number | 1316923766
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Entity Type | Individual
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Provider Name | JEANNE MARY CHARTIER ANP
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Gender | Female
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Dates
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Enumeration Date | 12/19/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 130 W KINGSBRIDGE RD URGENT CARE
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City | BRONX
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State | NY
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Zip | 10468-3904
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Country | US
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Telephone | 718-584-9000
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Fax | 718-741-4650
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Provider Business Mailing Address
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Address Line | 130 GALE PL APT 3F
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City | BRONX
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State | NY
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Zip | 10463-2844
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Country | US
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Telephone | 718-601-5213
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Fax | 718-601-5819
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F301738
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License Number State | NY
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