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General NPI Number Information
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NPI Number | 1730728007
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Entity Type | Individual
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Provider Name | LUISA REMPONI AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/03/2020
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Last Update Date | 03/18/2021
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Provider Practice Location Address
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Address Line | 80-31 LL1 BROADWAY
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City | ELMHURST
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State | NY
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Zip | 11373
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Country | US
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Telephone | 917-340-8997
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Fax | 929-424-3306
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Provider Business Mailing Address
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Address Line | 5945 161ST ST FL 2
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City | FRESH MEADOWS
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State | NY
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Zip | 11365-1414
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Country | US
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Telephone | 929-299-4627
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Fax | 917-725-9145
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | F309219
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F309219
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License Number State | NY
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