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General NPI Number Information
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NPI Number | 1386995249
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Entity Type | Organization
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Legal Business Name | ADULT HEALTH N.P., PLLC
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Dates
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Enumeration Date | 10/01/2012
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Last Update Date | 10/01/2012
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Provider Practice Location Address
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Address Line | 1846 MERRICK AVE
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City | MERRICK
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State | NY
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Zip | 11566-2730
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Country | US
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Telephone | 516-442-7088
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Fax |
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Provider Business Mailing Address
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Address Line | 1846 MERRICK AVE
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City | MERRICK
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State | NY
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Zip | 11566-2730
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Country | US
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Telephone | 516-442-7088
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VALERIE AVELLI
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Credential | ANP
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Telephone | 516-640-7579
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 305793
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 305793
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License Number State | NY
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