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General NPI Number Information
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NPI Number | 1710540182
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Entity Type | Individual
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Provider Name | TAYLOR ANN MUNOZ PA-C
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Gender | Female
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Dates
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Enumeration Date | 04/20/2019
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Last Update Date | 08/31/2022
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Provider Practice Location Address
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Address Line | 2251 HEMPSTEAD TPKE BLDG R
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City | EAST MEADOW
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State | NY
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Zip | 11554-1856
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Country | US
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Telephone | 516-572-5166
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Fax |
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Provider Business Mailing Address
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Address Line | 12 WEDGEWOOD LN
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City | MILLER PLACE
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State | NY
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Zip | 11764-2744
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Country | US
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Telephone | 631-946-1850
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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 |
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License Number State | NY
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