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General NPI Number Information
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NPI Number | 1326825290
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Entity Type | Organization
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Legal Business Name | INFINITY FAMILY HEALTH NP CONSULTANT PLLC
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Dates
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Enumeration Date | 09/13/2023
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Last Update Date | 09/13/2023
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Provider Practice Location Address
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Address Line | 2407 KAYRON LN
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City | NORTH BELLMORE
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State | NY
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Zip | 11710-2113
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Country | US
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Telephone | 845-535-1714
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Fax | 267-619-7001
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Provider Business Mailing Address
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Address Line | 2407 KAYRON LN
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City | NORTH BELLMORE
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State | NY
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Zip | 11710-2113
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Country | US
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Telephone | 347-642-1686
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Fax | 267-619-7001
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | DR. LESLIE BAUERLE
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Credential | DNP, FNP-BC
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Telephone | 347-642-1686
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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 |
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License Number State |
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