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General NPI Number Information
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NPI Number | 1326337791
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Entity Type | Individual
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Provider Name | LUCY GELLER RN
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Gender | Female
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Dates
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Enumeration Date | 04/06/2011
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Last Update Date | 04/06/2011
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Provider Practice Location Address
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Address Line | 194 TARGEE ST
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City | STATEN ISLAND
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State | NY
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Zip | 10304-1926
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Country | US
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Telephone | 718-390-7574
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Fax | 718-390-5166
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Provider Business Mailing Address
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Address Line | 958 NUGENT AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10306-5437
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Country | US
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Telephone | 646-338-6125
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 523293
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 523293
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 163WC1600X
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Taxonomy Name | Continuing Education/Staff Development Registered Nurse
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License Number | 523293
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License Number State | NY
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