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General NPI Number Information
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NPI Number | 1477761641
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Entity Type | Individual
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Provider Name | BARBARA SUZY DIGGLE-FOX R.N., N.P., M.S.
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Gender | Female
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Dates
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Enumeration Date | 05/19/2007
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Last Update Date | 02/08/2011
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Provider Practice Location Address
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Address Line | 68 HAUPPAUGE RD GURWIN JEWISH GERIATRIC CENTER, EMPLOYEE HEALTH
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City | COMMACK
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State | NY
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Zip | 11725-4403
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Country | US
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Telephone | 631-921-0838
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Fax | 631-221-9733
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Provider Business Mailing Address
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Address Line | 4039 W GILGO BCH
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City | WEST GILGO BEACH
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State | NY
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Zip | 11702-4615
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Country | US
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Telephone | 631-221-9733
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Fax | 631-221-9733
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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 | 349443-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F300525-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | F340013-1
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License Number State | NY
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