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General NPI Number Information
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NPI Number | 1427285121
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Entity Type | Organization
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Legal Business Name | JEAN LANGHANS, NP, PC
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Dates
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Enumeration Date | 06/19/2009
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Last Update Date | 06/19/2009
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Provider Practice Location Address
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Address Line | 3096 51ST ST
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City | WOODSIDE
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State | NY
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Zip | 11377-1457
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Country | US
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Telephone | 845-633-0374
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Fax |
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Provider Business Mailing Address
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Address Line | 405 E 14TH ST
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City | NEW YORK
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State | NY
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Zip | 10009-2701
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Country | US
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Telephone | 845-633-0374
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEAN LANGHANS
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Credential |
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Telephone | 845-633-0374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | F420135
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License Number State | NY
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