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General NPI Number Information
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NPI Number | 1861915290
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Entity Type | Individual
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Provider Name | MARIA RITA A MACAPINLAC NP
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Gender | Female
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Dates
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Enumeration Date | 07/18/2017
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Last Update Date | 04/10/2023
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Provider Practice Location Address
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Address Line | 100 N MAIN ST STE L20
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City | ELMIRA
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State | NY
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Zip | 14901-2924
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Country | US
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Telephone | 973-641-0328
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Fax | 607-645-5150
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Provider Business Mailing Address
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Address Line | 100 N MAIN ST STE L20
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City | ELMIRA
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State | NY
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Zip | 14901-2924
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Country | US
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Telephone | 973-641-0328
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Fax | 607-645-5150
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | F402188-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 402188
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License Number State | NY
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