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General NPI Number Information
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NPI Number | 1710823281
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Entity Type | Individual
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Provider Name | ALINA PENA ADAMES
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Gender | Female
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 12510 QUEENS BLVD STE 2701
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City | KEW GARDENS
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State | NY
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Zip | 11415-1511
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Country | US
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Telephone | 718-261-0444
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Fax |
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Provider Business Mailing Address
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Address Line | 258 MADISON ST
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City | MAMARONECK
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State | NY
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Zip | 10543-1817
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Country | US
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Telephone | 929-276-9908
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 359551
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License Number State | NY
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