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NPI 1396609434

NPI 1396609434 : DEBORAH GAE UMAYAM MARALIT : BRONX, NY

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General NPI Number Information
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    NPI Number           |    1396609434
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    Entity Type          |    Individual 
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    Provider Name        |    DEBORAH GAE UMAYAM MARALIT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/12/2025
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    Last Update Date     |    12/12/2025
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Provider Practice Location Address
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    Address Line         |    3127 WILKINSON AVE 
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    City                 |    BRONX
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    State                |    NY
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    Zip                  |    10461-4607
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    Country              |    US
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    Telephone            |    718-993-3458
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2775 MORGAN AVE 
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    City                 |    BRONX
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    State                |    NY
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    Zip                  |    10469-5520
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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        |    163WC0400X
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    Taxonomy Name        |    Case Management Registered Nurse
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    License Number       |    758788
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    License Number State |    NY
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