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General NPI Number Information
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NPI Number | 1699419036
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Entity Type | Individual
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Provider Name | JUNE ROGERS ELIELY
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Gender | Female
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Dates
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Enumeration Date | 04/22/2022
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Last Update Date | 04/22/2022
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Provider Practice Location Address
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Address Line | 614 NASSAU BLVD
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City | W HEMPSTEAD
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State | NY
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Zip | 11552-3143
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Country | US
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Telephone | 917-407-5931
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Fax |
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Provider Business Mailing Address
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Address Line | 614 NASSAU BLVD
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City | W HEMPSTEAD
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State | NY
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Zip | 11552-3143
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Country | US
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Telephone | 917-407-5931
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 421530
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License Number State | NY
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