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General NPI Number Information
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NPI Number | 1669461851
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Entity Type | Individual
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Provider Name | JANICE KRYSTAL ASCENCIO M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/19/2005
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 13303 JAMAICA AVE # 6A
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City | RICHMOND HILL
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State | NY
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Zip | 11418-2618
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Country | US
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Telephone | 718-291-3276
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Fax | 718-526-5456
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Provider Business Mailing Address
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Address Line | 8906 135TH ST APT 6A
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City | RICHMOND HILL
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State | NY
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Zip | 11418-2823
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Country | US
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Telephone | 718-206-6808
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Fax | 718-206-6829
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 225860
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License Number State | NY
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