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General NPI Number Information
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NPI Number | 1801683263
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Entity Type | Organization
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Legal Business Name | MARCIA DEABREU NP IN FAMILY HEALTH PLLC
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 1 OLD COUNTRY RD STE 105
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City | CARLE PLACE
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State | NY
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Zip | 11514-1834
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Country | US
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Telephone | 516-725-4901
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Fax |
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Provider Business Mailing Address
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Address Line | 461 RAILROAD AVE APT 310
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City | WESTBURY
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State | NY
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Zip | 11590-5036
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARCIA DEABREU
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Credential | FNP
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Telephone | 516-725-4901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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