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General NPI Number Information
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NPI Number | 1740542117
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Entity Type | Individual
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Provider Name | MS. JESSICA LINTNER
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Gender | Female
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Dates
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Enumeration Date | 06/12/2012
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Last Update Date | 06/12/2012
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Provider Practice Location Address
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Address Line | 6613 52ND RD
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City | MASPETH
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State | NY
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Zip | 11378-1409
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Country | US
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Telephone | 347-466-6560
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Fax |
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Provider Business Mailing Address
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Address Line | 66-13 52 RD.
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City | MASPETH
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State | NY
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Zip | 11378
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Country | US
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Telephone | 347-466-6560
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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