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General NPI Number Information
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NPI Number | 1740440403
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Entity Type | Individual
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Provider Name | YLANNA ROBERTSON LPN
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Gender | Female
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Dates
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Enumeration Date | 06/16/2008
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 279 E 3RD ST
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City | NEW YORK
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State | NY
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Zip | 10009-7813
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Country | US
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Telephone | 212-477-8500
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Fax |
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Provider Business Mailing Address
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Address Line | 9502 KINGS HWY 416
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City | BROOKLYN
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State | NY
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Zip | 11212-2760
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Country | US
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Telephone | 347-406-9709
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 293334
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License Number State | NY
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