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General NPI Number Information
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NPI Number | 1588326524
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Entity Type | Organization
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Legal Business Name | MYRIAM CORYE, LPN, P.C.
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Dates
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Enumeration Date | 10/07/2021
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Last Update Date | 10/07/2021
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Provider Practice Location Address
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Address Line | 23 ADAMS LN
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City | MIDDLE ISLAND
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State | NY
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Zip | 11953-1802
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Country | US
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Telephone | 631-495-5165
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Fax |
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Provider Business Mailing Address
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Address Line | 23 ADAMS LN
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City | MIDDLE ISLAND
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State | NY
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Zip | 11953-1802
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Country | US
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Telephone | 631-495-5165
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Fax |
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Authorized Official
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Title or Position | LICENSED PRACTICAL NURSE
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Name | MS. MYRIAM CORYE
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Credential | LPN
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Telephone | 631-495-5165
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number |
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License Number State |
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