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General NPI Number Information
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NPI Number | 1962978346
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Entity Type | Individual
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Provider Name | NICOLE GILBERT NP
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Gender | Female
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Dates
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Enumeration Date | 10/23/2018
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Last Update Date | 03/16/2021
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Provider Practice Location Address
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Address Line | 100 N VILLAGE AVE STE 27
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-3712
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Country | US
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Telephone | 516-900-7574
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Fax | 516-888-8235
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Provider Business Mailing Address
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Address Line | 2177 23RD ST APT 1
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City | ASTORIA
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State | NY
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Zip | 11105-3604
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Country | US
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Telephone | 516-279-8606
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 402503
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License Number State | NY
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