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General NPI Number Information
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NPI Number | 1366327900
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Entity Type | Individual
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Provider Name | MARIA ELENA JEANNITON RN
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Gender | Female
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 1150 S OLIVE ST STE 1200
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City | LOS ANGELES
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State | CA
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Zip | 90015-2211
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Country | US
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Telephone | 646-398-3384
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Fax |
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Provider Business Mailing Address
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Address Line | 230 MARTENSE ST
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City | BROOKLYN
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State | NY
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Zip | 11226-3604
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Country | US
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Telephone | 917-365-6588
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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 | 163WC1600X
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Taxonomy Name | Continuing Education/Staff Development Registered Nurse
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License Number | 497401
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License Number State | NY
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