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General NPI Number Information
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NPI Number | 1417097635
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Entity Type | Individual
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Provider Name | NIKERL-ANGE CADET PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 215 W 125TH ST 2ND FLOOR
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City | NEW YORK
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State | NY
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Zip | 10027-4426
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Country | US
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Telephone | 212-876-9593
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Fax | 212-939-1434
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Provider Business Mailing Address
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Address Line | 17 KLINT CT
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City | NANUET
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State | NY
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Zip | 10954-5939
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Country | US
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Telephone | 212-876-9593
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Fax | 212-939-1434
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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