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General NPI Number Information
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NPI Number | 1508780511
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Entity Type | Individual
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Provider Name | JENNIFER ELIZABETH CONROY
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Gender | Female
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Dates
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Enumeration Date | 08/05/2026
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Last Update Date | 08/05/2026
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Provider Practice Location Address
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Address Line | 17 QUINTREE LN
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City | MELVILLE
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State | NY
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Zip | 11747-1811
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Country | US
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Telephone | 516-810-4415
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Fax |
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Provider Business Mailing Address
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Address Line | 53 WILSON LN
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City | BETHPAGE
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State | NY
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Zip | 11714-4926
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Country | US
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Telephone | 516-524-9575
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | N53944
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License Number State | NY
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