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General NPI Number Information
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NPI Number | 1881241347
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Entity Type | Individual
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Provider Name | PERPETUAL COFFIE R.N.
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Gender | Female
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Dates
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Enumeration Date | 08/20/2019
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Last Update Date | 08/20/2019
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Provider Practice Location Address
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Address Line | 900 INTERVALE AVE
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City | BRONX
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State | NY
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Zip | 10459-4240
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Country | US
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Telephone | 718-732-7171
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Fax |
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Provider Business Mailing Address
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Address Line | 1802 MATTHEWS AVE # 2
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City | BRONX
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State | NY
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Zip | 10462-3611
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Country | US
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Telephone | 610-577-6835
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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 | 423843
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License Number State | NY
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