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General NPI Number Information
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NPI Number | 1609134717
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Entity Type | Individual
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Provider Name | ANTIGONE CHRISTOS HATZIMIHALIS RN, ANP-C
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Gender | Female
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Dates
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Enumeration Date | 04/26/2012
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Last Update Date | 04/26/2012
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Provider Practice Location Address
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Address Line | 865 MERRICK RD SUITE 206
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City | BALDWIN
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State | NY
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Zip | 11510-3338
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Country | US
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Telephone | 516-442-4728
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Fax | 855-764-0269
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Provider Business Mailing Address
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Address Line | 865 MERRICK RD. SUITE 206
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City | BALDWIN
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State | NY
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Zip | 11510-3338
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Country | US
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Telephone | 516-442-4728
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Fax | 855-764-0269
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F305015
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License Number State | NY
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