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General NPI Number Information
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NPI Number | 1396248902
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Entity Type | Individual
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Provider Name | MS. NICOLE M AMATO
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Gender | Female
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Dates
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Enumeration Date | 03/10/2018
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Last Update Date | 03/10/2018
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Provider Practice Location Address
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Address Line | 1180 HENRIETTA PL
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City | HEWLETT
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State | NY
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Zip | 11557-1122
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Country | US
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Telephone | 516-374-8157
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Fax |
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Provider Business Mailing Address
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Address Line | 11 BROWER PL
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City | LYNBROOK
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State | NY
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Zip | 11563-3617
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Country | US
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Telephone | 516-849-9122
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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 | 246Z00000X
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Taxonomy Name | Other Specialist/Technologist
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License Number |
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License Number State |
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