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General NPI Number Information
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NPI Number | 1568277689
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Entity Type | Individual
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Provider Name | LIEZL CATHERINE C. DEL ROSARIO PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/07/2025
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 11706 225TH ST
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City | CAMBRIA HEIGHTS
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State | NY
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Zip | 11411-1706
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Country | US
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Telephone | 718-712-8511
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Fax |
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Provider Business Mailing Address
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Address Line | 9425 60TH AVE
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City | ELMHURST
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State | NY
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Zip | 11373-5069
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Country | US
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Telephone | 718-760-0797
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Fax | 718-760-0797
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | NY
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