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General NPI Number Information
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NPI Number | 1912210303
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Entity Type | Individual
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Provider Name | JOANNE R DAVID RN
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Gender | Female
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Dates
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Enumeration Date | 07/14/2010
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Last Update Date | 07/14/2010
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Provider Practice Location Address
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Address Line | 1663 E 17TH ST
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City | BROOKLYN
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State | NY
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Zip | 11229-1259
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Country | US
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Telephone | 718-998-0200
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Fax | 718-645-3837
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Provider Business Mailing Address
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Address Line | 121 MATTHEW DR
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City | BEAR
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State | DE
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Zip | 19701-1886
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Country | US
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Telephone | 302-832-7172
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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 | 304914-1
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License Number State | NY
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