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General NPI Number Information
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NPI Number | 1891277059
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Entity Type | Individual
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Provider Name | AGNIESZKA KAPELANSKI RN
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Gender | Female
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Dates
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Enumeration Date | 09/04/2018
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Last Update Date | 09/04/2018
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Provider Practice Location Address
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Address Line | 14 TECHNOLOGY DR
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City | EAST SETAUKET
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State | NY
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Zip | 11733-3472
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Country | US
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Telephone | 631-689-8118
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Fax |
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Provider Business Mailing Address
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Address Line | 12 PATRICIA RD
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City | EAST PATCHOGUE
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State | NY
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Zip | 11772-4223
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Country | US
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Telephone | 718-915-4231
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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 | 607010
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License Number State | NY
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