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General NPI Number Information
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NPI Number | 1528415338
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Entity Type | Individual
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Provider Name | JOHN JOSEPH LEZOLI JR. FNP, MSN
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Gender | Male
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Dates
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Enumeration Date | 05/21/2016
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Last Update Date | 12/18/2016
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Provider Practice Location Address
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Address Line | 1025 48TH ST
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City | BROOKLYN
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State | NY
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Zip | 11219-2921
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Country | US
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Telephone | 718-283-7353
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Fax |
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Provider Business Mailing Address
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Address Line | 1025 48TH ST
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City | BROOKLYN
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State | NY
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Zip | 11219-2921
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Country | US
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Telephone | 718-283-7353
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F338634-1
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License Number State | NY
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