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General NPI Number Information
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NPI Number | 1972752285
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Entity Type | Individual
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Provider Name | VIRGINIA MANALO PRIETO RN, MSN, CCRN, ANP
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Gender | Female
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Dates
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Enumeration Date | 09/10/2008
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Last Update Date | 09/10/2008
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Provider Practice Location Address
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Address Line | GP 7 WEST 1 GUSTAVE L. LEVY PLACE
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City | NEW YORK
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State | NY
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Zip | 10029-0000
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Country | US
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Telephone | 212-241-7929
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Fax | 212-427-7255
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Provider Business Mailing Address
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Address Line | PO BOX 1458
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City | NEW YORK
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State | NY
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Zip | 10116-1458
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Country | US
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Telephone | 212-241-7929
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Fax | 212-427-7255
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 376884-1
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License Number State | NY
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