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General NPI Number Information
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NPI Number | 1871521633
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Entity Type | Individual
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Provider Name | MAUREEN B. HOUCK NP
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Gender | Female
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 275 HOFSTRA UNIVERSITY HEALTH AND WELLNESS CENTER REPUBLIC HALL
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City | HEMPSTEAD
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State | NY
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Zip | 11549
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Country | US
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Telephone | 516-463-6745
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Fax | 516-463-5161
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Provider Business Mailing Address
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Address Line | 21 MAPLE AVE
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City | BETHPAGE
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State | NY
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Zip | 11714-2216
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Country | US
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Telephone | 516-931-5770
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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 | F331681
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License Number State | NY
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