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General NPI Number Information
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NPI Number | 1962875633
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Entity Type | Individual
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Provider Name | JING JIN F.N.P.
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Gender | Female
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Dates
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Enumeration Date | 11/03/2015
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Last Update Date | 11/03/2015
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Provider Practice Location Address
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Address Line | 16707 29TH AVE
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City | FLUSHING
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State | NY
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Zip | 11358-1501
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Country | US
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Telephone | 718-353-6283
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Fax |
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Provider Business Mailing Address
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Address Line | 291 PINEBROOK BLVD
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City | NEW ROCHELLE
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State | NY
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Zip | 10804-3908
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Country | US
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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 | 339975
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License Number State | NY
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