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General NPI Number Information
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NPI Number | 1386958783
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Entity Type | Individual
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Provider Name | PRINCY ROSE ABRAHAM N.P., R.N.
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Gender | Female
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Dates
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Enumeration Date | 07/28/2010
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Last Update Date | 12/27/2016
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Provider Practice Location Address
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Address Line | 107 SHELTER LN
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City | LEVITTOWN
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State | NY
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Zip | 11756-1218
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Country | US
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Telephone | 646-644-0429
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Fax |
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Provider Business Mailing Address
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Address Line | 107 SHELTER LN
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City | LEVITTOWN
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State | NY
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Zip | 11756-1218
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Country | US
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Telephone | 646-644-0429
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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 | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | F350402
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 613527
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License Number State | NY
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