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General NPI Number Information
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NPI Number | 1336359835
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Entity Type | Individual
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Provider Name | TERESA MASCITTI N.P.
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Gender | Female
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2555 MERRICK RD
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City | BELLMORE
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State | NY
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Zip | 11710-5710
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Country | US
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Telephone | 516-409-5353
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Fax | 516-409-5252
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Provider Business Mailing Address
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Address Line | 2555 MERRICK RD
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City | BELLMORE
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State | NY
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Zip | 11710-5710
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Country | US
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Telephone | 516-409-5353
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Fax | 516-409-5252
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 301800
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License Number State | NY
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