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General NPI Number Information
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NPI Number | 1487706503
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Entity Type | Individual
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Provider Name | MARLENE DONNA NAGLER GALVIS R.N.N.P.
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Gender | Female
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 726 BROADWAY FL 4
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City | NEW YORK
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State | NY
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Zip | 10003-9580
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Country | US
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Telephone | 212-443-1173
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Fax | 212-443-1167
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Provider Business Mailing Address
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Address Line | 1474 TAFT CT
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City | EAST MEADOW
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State | NY
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Zip | 11554-4425
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Country | US
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Telephone | 516-489-5658
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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 | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 3600201
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License Number State | NY
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