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General NPI Number Information
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NPI Number | 1417037748
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Entity Type | Individual
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Provider Name | JOANNE HANORA PRESTON N.P.
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Gender | Female
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 11/19/2018
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Provider Practice Location Address
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Address Line | 150 EAST 42ND STREET BTWN. 3RD AND LEXINGTON MINUTE CLINIC
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City | NEW YORK
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State | NY
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Zip | 10017
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Country | US
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Telephone | 212-661-8139
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Fax |
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Provider Business Mailing Address
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Address Line | 160 E 48TH ST APT 9G
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City | NEW YORK
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State | NY
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Zip | 10017-2184
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Country | US
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Telephone | 831-402-4997
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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 | 336975
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License Number State | NY
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