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General NPI Number Information
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NPI Number | 1538988860
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Entity Type | Individual
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Provider Name | MARIA ELENA CIPRIANO
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Gender | Female
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Dates
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Enumeration Date | 10/03/2024
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 5 CUBA HILL RD
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City | GREENLAWN
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State | NY
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Zip | 11740-1624
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Country | US
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Telephone | 631-628-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 1921 HENRY ST
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City | NORTH BELLMORE
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State | NY
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Zip | 11710-3213
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Country | US
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Telephone | 516-557-8440
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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 | 032411
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License Number State | NY
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