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General NPI Number Information
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NPI Number | 1558604645
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Entity Type | Individual
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Provider Name | NAIROVI HERRERA R.N
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Gender | Female
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Dates
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Enumeration Date | 03/27/2013
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Last Update Date | 03/27/2013
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Provider Practice Location Address
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Address Line | 1649 NELSON AVE APT 2E
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City | BRONX
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State | NY
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Zip | 10453-7016
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Country | US
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Telephone | 347-367-6001
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Fax |
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Provider Business Mailing Address
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Address Line | 1649 NELSON AVE APT # 2E
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City | BRONX
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State | NY
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Zip | 10453
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Country | US
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Telephone | 347-367-6001
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 612302
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 612302
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License Number State | NY
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