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General NPI Number Information
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NPI Number | 1538550835
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Entity Type | Individual
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Provider Name | ARIANA WHITNEY ROSS PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/09/2015
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Last Update Date | 02/09/2015
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Provider Practice Location Address
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Address Line | 1315 YORK AVE MEZZANINE LEVEL
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City | NEW YORK
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State | NY
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Zip | 10021-5304
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Country | US
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Telephone | 212-746-5548
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Fax | 212-746-8144
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Provider Business Mailing Address
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Address Line | 13523 82ND AVE APT 3B
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City | JAMAICA
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State | NY
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Zip | 11435-1346
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Country | US
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Telephone | 520-465-9011
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 018417
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License Number State | NY
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