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General NPI Number Information
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NPI Number | 1932664109
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Entity Type | Individual
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Provider Name | ROSHNI JAIN NP
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Gender | Female
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Dates
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Enumeration Date | 02/01/2019
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Last Update Date | 06/17/2022
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Provider Practice Location Address
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Address Line | 210 E 64TH ST FL 3
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City | NEW YORK
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State | NY
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Zip | 10065-7471
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Country | US
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Telephone | 212-434-4050
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Fax |
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Provider Business Mailing Address
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Address Line | 0000 PLEASANT AVE
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City | JABALPUR
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State | INDIA
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Zip | 00000
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Country | IN
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Telephone |
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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 | 349084
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License Number State | NY
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