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General NPI Number Information
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NPI Number | 1750416822
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Entity Type | Individual
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Provider Name | ELIZABETH QUINT NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 544 7TH AVE RM 103
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City | BROOKLYN
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State | NY
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Zip | 11215-6140
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Country | US
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Telephone | 718-788-6720
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Fax |
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Provider Business Mailing Address
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Address Line | 564 10TH ST
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City | BROOKLYN
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State | NY
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Zip | 11215-4402
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Country | US
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Telephone | 718-768-8647
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F331099-1
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License Number State | NY
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