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General NPI Number Information
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NPI Number | 1508707217
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Entity Type | Organization
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Legal Business Name | ADELENE JANN MEDICINE PLLC
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Dates
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Enumeration Date | 04/06/2026
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Last Update Date | 04/13/2026
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Provider Practice Location Address
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Address Line | 245 5TH AVE FL 3
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City | NEW YORK
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State | NY
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Zip | 10016-8728
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Country | US
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Telephone | 646-921-4286
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Fax | 646-531-9165
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Provider Business Mailing Address
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Address Line | 360 NEW DORP LN
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City | STATEN ISLAND
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State | NY
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Zip | 10306-3035
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MD
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Name | ADELENE JANN
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Credential | MD
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Telephone | 646-921-4286
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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