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General NPI Number Information
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NPI Number | 1437517406
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Entity Type | Individual
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Provider Name | ELLEN MARIE DOMBROWSKI FNP, DNP
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Gender | Female
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Dates
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Enumeration Date | 02/05/2016
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Last Update Date | 02/05/2016
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Provider Practice Location Address
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Address Line | 100 GRASSLANDS ROAD
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City | VALHALLA
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State | NY
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Zip | 10595
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Country | US
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Telephone | 914-493-8585
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Fax |
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Provider Business Mailing Address
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Address Line | 5 WOODLAWN PL
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City | LYNBROOK
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State | NY
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Zip | 11563-1423
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Country | US
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Telephone | 516-319-6439
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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 | 336235
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License Number State | NY
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