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General NPI Number Information
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NPI Number | 1437896834
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Entity Type | Individual
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Provider Name | GLUNISE LABATTE
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Gender | Female
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Dates
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Enumeration Date | 05/17/2022
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Last Update Date | 05/17/2022
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Provider Practice Location Address
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Address Line | 132 W FULTON AVE
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City | ROOSEVELT
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State | NY
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Zip | 11575-2027
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Country | US
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Telephone | 516-384-6840
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Fax |
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Provider Business Mailing Address
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Address Line | 1 SUMMIT AVE # 3
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City | WHITE PLAINS
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State | NY
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Zip | 10606-3003
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Country | US
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Telephone | 914-525-6527
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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 | 335852-01
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License Number State | NY
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