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General NPI Number Information
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NPI Number | 1578214318
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Entity Type | Individual
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Provider Name | MODESTA MALU
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Gender | Female
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Dates
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Enumeration Date | 01/13/2022
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Last Update Date | 01/25/2022
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Provider Practice Location Address
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Address Line | 845 3RD AVE
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City | NEW YORK
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State | NY
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Zip | 10022-6601
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Country | US
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Telephone | 844-696-6346
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Fax |
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Provider Business Mailing Address
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Address Line | 11634 141ST ST
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City | JAMAICA
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State | NY
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Zip | 11436-1214
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Country | US
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Telephone | 347-488-1698
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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 | 348352
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License Number State | NY
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