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General NPI Number Information
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NPI Number | 1669981635
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Entity Type | Individual
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Provider Name | JOO HEE SOHN TRISOLINI
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Gender | Female
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Dates
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Enumeration Date | 09/21/2017
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Last Update Date | 12/30/2019
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Provider Practice Location Address
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Address Line | 424 E 34TH ST FL 16
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City | NEW YORK
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State | NY
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Zip | 10016-4901
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Country | US
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Telephone | 929-237-3813
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Fax |
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Provider Business Mailing Address
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Address Line | 58 STAGG ST APT 1B
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City | BROOKLYN
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State | NY
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Zip | 11206-1113
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Country | US
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Telephone |
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | F431177-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 640940-1
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License Number State | NY
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