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General NPI Number Information
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NPI Number | 1457119992
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Entity Type | Organization
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Legal Business Name | SYDNEY HEALTH XPRES, LLC
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Dates
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Enumeration Date | 03/11/2024
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Last Update Date | 03/11/2024
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Provider Practice Location Address
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Address Line | 3211 ASTORIA BLVD
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City | ASTORIA
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State | NY
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Zip | 11102-1133
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Country | US
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Telephone | 929-424-3838
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Fax |
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Provider Business Mailing Address
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Address Line | 3211 ASTORIA BLVD
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City | ASTORIA
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State | NY
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Zip | 11102-1133
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Country | US
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Telephone | 929-424-3838
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Fax |
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Authorized Official
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Title or Position | DNP, FNP-BC, CEN, CPEN
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Name | MR. SYDNEY ISRAEL MALIMPENET
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Credential | DNP
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Telephone | 516-697-2252
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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 |
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License Number State |
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