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General NPI Number Information
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NPI Number | 1619229820
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Entity Type | Individual
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Provider Name | ARGELIA DIAZ NP
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Gender | Female
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Dates
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Enumeration Date | 10/11/2012
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Last Update Date | 01/07/2021
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Provider Practice Location Address
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Address Line | 10 BRENTWOOD RD STE 2
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City | BAY SHORE
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State | NY
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Zip | 11706-8022
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Country | US
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Telephone | 631-518-6040
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Fax | 631-518-6051
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Provider Business Mailing Address
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Address Line | 10 BRENTWOOD RD STE 2
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City | BAY SHORE
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State | NY
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Zip | 11706-8022
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Country | US
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Telephone | 631-518-6040
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Fax | 888-291-5798
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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 | F306138-1
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License Number State | NY
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