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General NPI Number Information
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NPI Number | 1386568244
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Entity Type | Individual
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Provider Name | LIANA GRAY VICARI NP
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Gender |
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Dates
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Enumeration Date | 08/05/2026
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Last Update Date | 08/05/2026
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Provider Practice Location Address
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Address Line | 1554 NORTHERN BLVD
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City | MANHASSET
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State | NY
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Zip | 11030-3053
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Country | US
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Telephone | 516-562-2229
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Fax |
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Provider Business Mailing Address
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Address Line | 500 E 77TH ST APT 2117
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City | NEW YORK
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State | NY
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Zip | 10162-0008
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Country | US
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Telephone |
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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 | F357487-01
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License Number State | NY
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