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General NPI Number Information
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NPI Number | 1962777565
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Entity Type | Organization
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Legal Business Name | DEPT OF EDUCATION,NYC
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Dates
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Enumeration Date | 03/14/2012
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Last Update Date | 03/15/2012
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Provider Practice Location Address
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Address Line | 200 WARDWLELL AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10314
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Country | US
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Telephone | 718-556-3603
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Fax | 718-442-4265
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Provider Business Mailing Address
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Address Line | 195 HAGAMAN PL
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City | STATEN ISLAND
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State | NY
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Zip | 10302-2035
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Country | US
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Telephone | 718-556-3603
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Fax | 718-720-6851
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Authorized Official
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Title or Position | STAFF NURSE
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Name | MRS. ALEYAMMA MATHEW
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Credential | RN
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Telephone | 718-556-3603
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 346200-1
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License Number State | NY
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