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General NPI Number Information
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NPI Number | 1326830787
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Entity Type | Organization
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Legal Business Name | SETH MEJIAS, FAMILY HEALTH NURSE PRACTITIONER, PLLC
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 3045 43RD ST FL 2
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City | ASTORIA
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State | NY
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Zip | 11103-2638
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Country | US
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Telephone | 315-783-7411
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Fax |
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Provider Business Mailing Address
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Address Line | 3045 43RD ST FL 2
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City | ASTORIA
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State | NY
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Zip | 11103-2638
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO & PRESIDENT
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Name | SETH MEJIAS
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Credential |
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Telephone | 315-783-7411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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