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General NPI Number Information
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NPI Number | 1689032922
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Entity Type | Individual
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Provider Name | ANNEMARIE DOWLING-CASTRONOVO PHD, RN, GNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/01/2016
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Last Update Date | 02/01/2016
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Provider Practice Location Address
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Address Line | 475 SEAVIEW AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10305-3436
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Country | US
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Telephone | 718-226-6456
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Fax |
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Provider Business Mailing Address
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Address Line | 16 KAREN CT
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City | STATEN ISLAND
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State | NY
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Zip | 10310-2624
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 22 412011
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 34 340293
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License Number State | NY
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