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General NPI Number Information
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NPI Number | 1598214264
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Entity Type | Individual
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Provider Name | EVIEN NUNEZ M.S.
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Gender | Female
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Dates
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Enumeration Date | 09/23/2016
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Last Update Date | 09/23/2016
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Provider Practice Location Address
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Address Line | 225 W 34TH ST 9TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10122-0049
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Country | US
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Telephone | 212-804-7659
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Fax |
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Provider Business Mailing Address
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Address Line | 38 FORT WASHINGTON AVE 66
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City | NEW YORK
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State | NY
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Zip | 10032-4700
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Country | US
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Telephone | 718-809-9625
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 503904
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License Number State | NY
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