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General NPI Number Information
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NPI Number | 1427357771
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Entity Type | Individual
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Provider Name | ROSALINE NGOZI OKPOR RN
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Gender | Female
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Dates
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Enumeration Date | 03/24/2011
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Last Update Date | 01/31/2017
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Provider Practice Location Address
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Address Line | 196 BEACH 61ST ST
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City | ARVERNE
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State | NY
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Zip | 11692-1856
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Country | US
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Telephone | 917-400-9573
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Fax |
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Provider Business Mailing Address
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Address Line | 196 BEACH 61ST ST
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City | ARVERNE
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State | NY
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Zip | 11692-1856
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Country | US
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Telephone | 917-400-9573
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 295658-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | 295658-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 649828
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License Number State | NY
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