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General NPI Number Information
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NPI Number | 1598445991
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Entity Type | Individual
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Provider Name | SETH MEJIAS FNP
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Gender | Male
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Dates
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Enumeration Date | 07/20/2023
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Last Update Date | 09/27/2023
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Provider Practice Location Address
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Address Line | 4601 4TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11220-1117
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Country | US
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Telephone | 718-680-8881
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Fax | 718-680-7880
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Provider Business Mailing Address
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Address Line | 2441 31ST ST # 1125
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City | ASTORIA
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State | NY
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Zip | 11102-1140
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Country | US
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Telephone | 315-783-7411
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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 | F352526-01
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License Number State | NY
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