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General NPI Number Information
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NPI Number | 1518442417
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Entity Type | Individual
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Provider Name | ANJELICA SARINA TUOZZO TETA PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/27/2018
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 1551 RICHMOND RD
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City | STATEN ISLAND
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State | NY
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Zip | 10304-2313
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Country | US
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Telephone | 718-839-5205
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Fax |
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Provider Business Mailing Address
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Address Line | 25 CHELTENHAM PL
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City | SAYREVILLE
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State | NJ
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Zip | 08872-1363
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Country | US
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Telephone | 917-664-4496
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 022686
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License Number State | NY
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