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General NPI Number Information
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NPI Number | 1649339144
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Entity Type | Individual
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Provider Name | PAULA NICOLE MARRIOTT RN
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Gender | Female
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 10/06/2009
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Provider Practice Location Address
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Address Line | 10504 SUTPHIN BLVD
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City | JAMAICA
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State | NY
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Zip | 11435-5022
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Country | US
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Telephone | 718-725-5000
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Fax | 718-725-5804
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Provider Business Mailing Address
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Address Line | 466 BEACH 64TH ST
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City | ARVERNE
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State | NY
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Zip | 11692-1423
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Country | US
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Telephone | 718-318-0897
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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 | 283322-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | PN5161567
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 616852
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 616852
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License Number State | NY
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