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General NPI Number Information
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NPI Number | 1760144729
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Entity Type | Individual
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Provider Name | ARIANA PATANE PA
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Gender | Female
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Dates
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Enumeration Date | 10/07/2021
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Last Update Date | 05/06/2022
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Provider Practice Location Address
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Address Line | 7915 METROPOLITAN AVE
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City | MIDDLE VILLAGE
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State | NY
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Zip | 11379-2930
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Country | US
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Telephone | 516-459-5029
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Fax |
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Provider Business Mailing Address
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Address Line | 24 COVERT AVE
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-4805
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Country | US
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Telephone | 516-459-5029
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 027432
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License Number State | NY
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