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General NPI Number Information
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NPI Number | 1740986348
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Entity Type | Individual
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Provider Name | SYLVIA KALLICH RN
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Gender | Female
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Dates
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Enumeration Date | 02/06/2023
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Last Update Date | 02/06/2023
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Provider Practice Location Address
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Address Line | 933 GOODRICH ST
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City | UNIONDALE
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State | NY
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Zip | 11553-2400
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Country | US
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Telephone | 516-883-8883
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Fax | 516-560-8995
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Provider Business Mailing Address
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Address Line | 3000 STEVENS ST UNIT 54
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City | OCEANSIDE
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State | NY
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Zip | 11572-2039
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Country | US
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Telephone | 516-883-8883
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 481662
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | 481-662
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License Number State | NY
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