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General NPI Number Information
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NPI Number | 1972987519
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Entity Type | Individual
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Provider Name | MARIA RAQUEL GARCIA-BALL RN
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Gender | Female
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Dates
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Enumeration Date | 07/14/2015
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Last Update Date | 03/01/2016
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Provider Practice Location Address
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Address Line | 306 W 48TH ST APT 9B
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City | NEW YORK
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State | NY
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Zip | 10036-1383
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Country | US
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Telephone | 510-277-2926
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Fax |
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Provider Business Mailing Address
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Address Line | 306 W 48TH ST APT 9B
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City | NEW YORK
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State | NY
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Zip | 10036-1383
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Country | US
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Telephone | 510-277-2926
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 686615-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 340346
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License Number State | NY
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