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General NPI Number Information
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NPI Number | 1861596173
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Entity Type | Individual
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Provider Name | ROSLYNN REYES AQUINO MS ANPC
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Gender | Female
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Dates
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Enumeration Date | 09/08/2006
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Last Update Date | 03/25/2022
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Provider Practice Location Address
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Address Line | 600 COMMUNITY DRIVE HEALTH SOLUTIONS
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City | MANHASSET
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State | NY
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Zip | 11030
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Country | US
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Telephone | 516-719-5211
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Fax |
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Provider Business Mailing Address
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Address Line | 35 KNIGHTSBRIDGE RD APT 1B
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City | GREAT NECK
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State | NY
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Zip | 11021-4504
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Country | US
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Telephone | 917-402-1342
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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 | F303182-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F303182
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License Number State | NY
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