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General NPI Number Information
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NPI Number | 1699137984
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Entity Type | Individual
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Provider Name | ALDEAN IVANA MORRIS
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Gender | Female
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Dates
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Enumeration Date | 03/24/2016
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Last Update Date | 05/19/2023
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Provider Practice Location Address
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Address Line | 1111 AMSTERDAM AVE
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City | NEW YORK
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State | NY
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Zip | 10025-1716
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Country | US
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Telephone | 212-523-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 325 E 93RD ST APT 1F
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City | BROOKLYN
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State | NY
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Zip | 11212-1804
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Country | US
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Telephone | 718-938-6360
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 019423
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 019423
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License Number State | NY
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