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General NPI Number Information
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NPI Number | 1356227607
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Entity Type | Individual
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Provider Name | JACLYN DANIELE ZUBLIONIS CRPA
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Gender | Female
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Dates
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Enumeration Date | 08/13/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 90 ADAMS AVE
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City | HAUPPAUGE
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State | NY
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Zip | 11788-3631
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Country | US
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Telephone | 631-952-3333
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Fax |
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Provider Business Mailing Address
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Address Line | 204 S CLINTON AVE
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City | LINDENHURST
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State | NY
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Zip | 11757-5111
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Country | US
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Telephone | 631-358-2699
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | CRPA-P-8885
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License Number State | NY
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