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General NPI Number Information
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NPI Number | 1902440647
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Entity Type | Individual
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Provider Name | TARA ENGLISH GIMELI CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 11/06/2019
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Last Update Date | 11/06/2019
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Provider Practice Location Address
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Address Line | 1991 MARCUS AVE STE 302
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City | NEW HYDE PARK
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State | NY
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Zip | 11042-2058
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Country | US
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Telephone | 516-321-8680
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Fax |
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Provider Business Mailing Address
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Address Line | 9 GRACE CT
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City | ISLIP
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State | NY
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Zip | 11751-4603
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Country | US
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Telephone | 631-741-0813
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | F382996-01
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License Number State | NY
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