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General NPI Number Information
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NPI Number | 1912461138
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Entity Type | Individual
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Provider Name | AMBAR ESTIVALIA ARANCIBIA DNP
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Gender | Female
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Dates
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Enumeration Date | 01/23/2019
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Last Update Date | 01/23/2019
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Provider Practice Location Address
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Address Line | 2510 30TH AVE
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City | LONG ISLAND CITY
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State | NY
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Zip | 11102-2448
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Country | US
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Telephone | 718-808-7716
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Fax |
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Provider Business Mailing Address
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Address Line | 1 GROVELAND PARK BLVD
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City | SOUND BEACH
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State | NY
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Zip | 11789-2541
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Country | US
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Telephone | 516-384-9427
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 308872
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License Number State | NY
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