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General NPI Number Information
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NPI Number | 1841566965
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Entity Type | Individual
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Provider Name | TRESKA HENRY LPN
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Gender | Female
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Dates
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Enumeration Date | 03/23/2012
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Last Update Date | 09/04/2020
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Provider Practice Location Address
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Address Line | 36 DEKALB AVE
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City | BROOKYN
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State | NY
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Zip | 11203
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Country | US
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Telephone | 347-563-4780
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Fax |
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Provider Business Mailing Address
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Address Line | 68 SAINT PAULS PL APT D9
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City | BROOKLYN
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State | NY
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Zip | 11226-1609
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Country | US
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Telephone | 609-724-8378
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 80073601
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License Number State | NY
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