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General NPI Number Information
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NPI Number | 1912311457
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Entity Type | Individual
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Provider Name | GLORIA ANDRADE FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/12/2014
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Last Update Date | 02/24/2016
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Provider Practice Location Address
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Address Line | 2015 GRAND CONCOURSE
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City | BRONX
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State | NY
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Zip | 10453-4303
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Country | US
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Telephone | 718-299-7295
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Fax | 718-295-7296
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Provider Business Mailing Address
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Address Line | 106 CALVERT ST 3RD FLOOR
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City | HARRISON
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State | NY
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Zip | 10528-3131
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Country | US
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Telephone | 914-835-0073
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Fax | 914-355-3035
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 338449
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License Number State | NY
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