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General NPI Number Information
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NPI Number | 1619264777
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Entity Type | Individual
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Provider Name | DEBRA CIORCIARI LPN
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Gender | Female
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Dates
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Enumeration Date | 07/08/2011
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Last Update Date | 04/11/2016
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Provider Practice Location Address
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Address Line | 157-15 19TH AVE QUEENS CENTER FOR REHABILITATION AND HEALTHCARE
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City | WHITESTONE
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State | NY
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Zip | 11357
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Country | US
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Telephone | 718-326-1731
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Fax |
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Provider Business Mailing Address
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Address Line | 7517 67TH RD 1
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City | MIDDLE VILLAGE
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State | NY
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Zip | 11379-2628
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Country | US
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Telephone |
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 303696
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License Number State | NY
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