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General NPI Number Information
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NPI Number | 1730802430
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Entity Type | Individual
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Provider Name | JULIA DYO NP-C
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Gender | Female
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Dates
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Enumeration Date | 09/19/2022
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Last Update Date | 11/02/2022
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Provider Practice Location Address
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Address Line | 91 TOMPKINS AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10304-2601
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Country | US
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Telephone | 718-876-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 21 PERSIMMON LN
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City | STATEN ISLAND
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State | NY
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Zip | 10314-4954
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Country | US
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Telephone | 917-340-1663
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 2078751
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License Number State | NY
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