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General NPI Number Information
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NPI Number | 1598365579
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Entity Type | Individual
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Provider Name | EMILY ROSE FITZPATRICK NP
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Gender | Female
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Dates
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Enumeration Date | 10/28/2020
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Last Update Date | 10/28/2020
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Provider Practice Location Address
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Address Line | 530 1ST AVE # HCC12
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City | NEW YORK
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State | NY
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Zip | 10016-6402
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Country | US
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Telephone | 866-838-5864
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Fax | 929-455-9045
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Provider Business Mailing Address
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Address Line | 2703 42ND RD APT 12B
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-4137
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Country | US
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Telephone | 973-985-5094
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | F431804
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License Number State | NY
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