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General NPI Number Information
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NPI Number | 1639152192
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Entity Type | Individual
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Provider Name | ANNE BECKERT KUCHINS GNP
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Gender | Female
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Dates
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Enumeration Date | 11/29/2005
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 75 20 ASTORIA BLVD
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11370
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Country | US
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Telephone | 917-843-3246
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Fax |
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Provider Business Mailing Address
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Address Line | 72 GARFIELD ST
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City | GARDEN CITY
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State | NY
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Zip | 11530-2405
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Country | US
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Telephone | 718-888-6799
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | F340039
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License Number State | NY
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