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General NPI Number Information
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NPI Number | 1851977516
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Entity Type | Individual
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Provider Name | YAN JIN NP
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Gender | Female
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Dates
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Enumeration Date | 03/23/2021
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Last Update Date | 03/23/2021
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Provider Practice Location Address
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Address Line | 2307 BELLMORE AVE
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City | BELLMORE
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State | NY
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Zip | 11710-5651
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Country | US
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Telephone | 516-784-5858
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Fax |
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Provider Business Mailing Address
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Address Line | 58 ORIOLE WAY
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City | WESTBURY
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State | NY
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Zip | 11590-1127
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Country | US
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Telephone | 551-574-7054
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F347185
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License Number State | NY
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