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General NPI Number Information
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NPI Number | 1356880066
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Entity Type | Individual
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Provider Name | KAITLIN J DUIGNAN FNP
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Gender | Female
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Dates
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Enumeration Date | 02/14/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 222 STATION PLZ N STE 104
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City | MINEOLA
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State | NY
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Zip | 11501-3800
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Country | US
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Telephone | 516-663-1500
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Fax | 516-663-1877
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Provider Business Mailing Address
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Address Line | 412 MERRICK RD
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-5427
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Country | US
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Telephone | 516-395-7302
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F341424-1
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License Number State | NY
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