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General NPI Number Information
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NPI Number | 1447760699
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Entity Type | Individual
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Provider Name | JAIME RONZONI NP
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Gender | Female
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Dates
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Enumeration Date | 10/02/2017
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Last Update Date | 02/04/2020
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Provider Practice Location Address
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Address Line | 30 DAVIS AVE
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City | WHITE PLAINS
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State | NY
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Zip | 10605-1041
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Country | US
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Telephone | 914-328-2151
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Fax | 914-380-1330
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Provider Business Mailing Address
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Address Line | 170 MAPLE AVE STE G-1
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City | WHITE PLAINS
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State | NY
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Zip | 10601-4767
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Country | US
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Telephone | 914-683-0443
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Fax | 914-380-1330
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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 | F340402
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License Number State | NY
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