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General NPI Number Information
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NPI Number | 1437734977
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Entity Type | Individual
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Provider Name | GERALDINE KEARNS
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Gender | Female
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Dates
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Enumeration Date | 03/16/2021
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Last Update Date | 03/16/2021
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Provider Practice Location Address
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Address Line | 998 CROOKED HILL RD
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City | WEST BRENTWOOD
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State | NY
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Zip | 11717-1019
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Country | US
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Telephone | 631-761-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 38 PICTURE LN
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City | HICKSVILLE
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State | NY
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Zip | 11801-6425
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Country | US
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Telephone | 516-567-5155
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 799686
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License Number State | NY
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