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General NPI Number Information
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NPI Number | 1518232933
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Entity Type | Individual
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Provider Name | MONICA VICTORIA DEAN RN
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Gender | Female
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Dates
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Enumeration Date | 03/19/2012
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Last Update Date | 03/19/2012
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Provider Practice Location Address
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Address Line | 3202 JUNCTION BLVD E ELMHURST
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City | EAST ELMHURST
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State | NY
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Zip | 11369-2454
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Country | US
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Telephone | 718-335-7500
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Fax | 718-779-3633
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Provider Business Mailing Address
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Address Line | 3202 JUNCTION BLVD E ELMHURST
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City | EAST ELMHURST
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State | NY
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Zip | 11369-2454
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Country | US
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Telephone | 718-335-7500
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Fax | 718-779-3633
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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 | 3466831
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License Number State | NY
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