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General NPI Number Information
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NPI Number | 1679364665
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Entity Type | Individual
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Provider Name | JONAH CONSTANTINE BARNETT BSN, RN
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Gender | Male
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Dates
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Enumeration Date | 05/16/2025
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 1468 MADISON AVE
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City | NEW YORK
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State | NY
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Zip | 10029-6508
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Country | US
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Telephone | 212-241-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 53 W 104TH ST APT 4B
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City | NEW YORK
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State | NY
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Zip | 10025-0318
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Country | US
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Telephone | 646-835-9643
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 855556
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License Number State | NY
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