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General NPI Number Information
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NPI Number | 1912804113
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Entity Type | Individual
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Provider Name | MABEL GUAN RN, NP
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Gender | Female
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Dates
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Enumeration Date | 10/21/2026
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Last Update Date | 10/27/2026
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Provider Practice Location Address
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Address Line | 150 EAST SUNRISE HIGHWAY
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City | LINDENHURST
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State | NY
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Zip | 11757
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Country | US
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Telephone | 631-225-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 106 ATLANTIC AVE APT 18
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City | LYNBROOK
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State | NY
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Zip | 11563-3455
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Country | US
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Telephone | 347-761-1805
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 360429
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License Number State | NY
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