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General NPI Number Information
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NPI Number | 1922761196
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Entity Type | Individual
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Provider Name | EMILY CARLISI FNP
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Gender | Female
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Dates
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Enumeration Date | 10/14/2021
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Last Update Date | 10/14/2021
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Provider Practice Location Address
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Address Line | 139 FULTON ST RM 901
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City | NEW YORK
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State | NY
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Zip | 10038-2531
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Country | US
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Telephone | 929-346-1907
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Fax |
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Provider Business Mailing Address
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Address Line | 71 OSBORNE AVE UNIT B9
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City | NORWALK
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State | CT
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Zip | 06855-1010
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Country | US
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Telephone | 516-551-1575
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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 | F348248-01
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License Number State | NY
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