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General NPI Number Information
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NPI Number | 1811396443
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Entity Type | Organization
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Legal Business Name | ROSE MARY SOKOLOW COLLETTE
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Dates
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Enumeration Date | 08/20/2014
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Last Update Date | 08/20/2014
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Provider Practice Location Address
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Address Line | 141 HOLLY AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10308-2348
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Country | US
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Telephone | 718-974-6244
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Fax |
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Provider Business Mailing Address
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Address Line | 141 HOLLY AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10308-2348
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Country | US
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Telephone | 718-974-6244
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Fax |
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Authorized Official
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Title or Position | STAFF NURSE
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Name | ROSE MARY SOKOLOW COLLETTE
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Credential | R.N.
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Telephone | 718-974-6244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 0593017
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | 0593017
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 0593017N
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License Number State | NY
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