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General NPI Number Information
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NPI Number | 1629669536
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Entity Type | Individual
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Provider Name | LOSIKEY PAULINO MOQUETE NP
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Gender | Female
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Dates
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Enumeration Date | 02/02/2021
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 309 AUDUBON AVE FL 5
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City | NEW YORK
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State | NY
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Zip | 10033-4213
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Country | US
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Telephone | 212-812-2244
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Fax |
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Provider Business Mailing Address
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Address Line | 95 SOUTHFIELD RD
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City | MOUNT VERNON
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State | NY
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Zip | 10552-1352
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Country | US
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Telephone | 914-305-0895
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 421845
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License Number State | NY
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