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General NPI Number Information
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NPI Number | 1902732712
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Entity Type | Individual
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Provider Name | JESSICA DANIELLE LOOKS M.S.
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Gender | Female
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Dates
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Enumeration Date | 06/19/2026
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Last Update Date | 06/19/2026
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Provider Practice Location Address
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Address Line | 44 COURT STREET STE #1217
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City | BROOKLYN
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State | NY
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Zip | 11201
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Country | US
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Telephone | 347-970-2188
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Fax | 347-515-6243
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Provider Business Mailing Address
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Address Line | 2126 28TH ST FL 3
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City | ASTORIA
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State | NY
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Zip | 11105-2934
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Country | US
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Telephone | 917-716-0571
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 2058163261
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License Number State | NY
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