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General NPI Number Information
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NPI Number | 1669420550
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Entity Type | Individual
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Provider Name | JENNIFER ANN FRONTERA M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 03/11/2021
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Provider Practice Location Address
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Address Line | 150 55TH ST
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City | BROOKLYN
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State | NY
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Zip | 11220-2508
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Country | US
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Telephone | 718-630-6689
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Fax |
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Provider Business Mailing Address
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Address Line | 1 GUSTAVE L LEVY PL BOX 1136B
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City | NEW YORK
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State | NY
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Zip | 10029-6574
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Country | US
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Telephone | 212-241-0002
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Fax | 212-831-3250
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 227233
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084A2900X
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Taxonomy Name | Neurocritical Care Physician
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License Number | 227233
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License Number State | NY
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