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General NPI Number Information
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NPI Number | 1366959199
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Entity Type | Individual
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Provider Name | HYEIN KATHY LEE CPNP-AC
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Gender | Female
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Dates
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Enumeration Date | 01/02/2018
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Last Update Date | 01/03/2018
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Provider Practice Location Address
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Address Line | 3959 BROADWAY 11C PICU
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City | NEW YORK
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State | NY
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Zip | 10032
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Country | US
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Telephone | 212-305-3281
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Fax |
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Provider Business Mailing Address
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Address Line | 6 STUYVESANT OVAL APT 9B
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City | NEW YORK
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State | NY
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Zip | 10009-2418
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Country | US
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Telephone | 310-502-1560
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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 | 363LP0222X
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Taxonomy Name | Critical Care Pediatric Nurse Practitioner
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License Number | F431205-1
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License Number State | NY
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