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General NPI Number Information
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NPI Number | 1811393671
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Entity Type | Individual
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Provider Name | NORMA MAJANO
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Gender | Female
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Dates
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Enumeration Date | 11/06/2014
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Last Update Date | 11/06/2014
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Provider Practice Location Address
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Address Line | 97-77 QUEENS BLVD
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City | REGO PARK
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State | NY
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Zip | 11374
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Country | US
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Telephone | 718-830-9274
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Fax | 718-830-9276
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Provider Business Mailing Address
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Address Line | 7836 79TH ST
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City | GLENDALE
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State | NY
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Zip | 11385-7436
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Country | US
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Telephone | 917-208-3779
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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 | 847870141
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License Number State | NY
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