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General NPI Number Information
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NPI Number | 1871138594
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Entity Type | Individual
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Provider Name | ZOE MAKEBA BIGNALL FNP
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Gender | Female
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Dates
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Enumeration Date | 11/18/2019
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Last Update Date | 05/03/2024
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Provider Practice Location Address
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Address Line | 1400 PELHAM PKWY S
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City | BRONX
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State | NY
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Zip | 10461-1197
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Country | US
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Telephone | 718-918-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 140 BENCHLEY PL APT 2H
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City | BRONX
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State | NY
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Zip | 10475-3549
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Country | US
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Telephone | 347-944-3711
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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 | 353232
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 771884
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License Number State | NY
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