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General NPI Number Information
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NPI Number | 1730265810
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Entity Type | Individual
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Provider Name | EILEEN GAIL MELTZER R.N. B.S.
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Gender | Female
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 169 WASHINGTON AVE
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City | KINGSTON
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State | NY
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Zip | 12401-4855
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Country | US
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Telephone | 845-338-0840
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Fax |
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Provider Business Mailing Address
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Address Line | 15 FISCHER AVE
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City | KINGSTON
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State | NY
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Zip | 12401-8505
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Country | US
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Telephone | 845-658-8108
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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 | 420093-1
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License Number State | NY
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