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General NPI Number Information
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NPI Number | 1992154397
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Entity Type | Individual
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Provider Name | NICOLE MARIE PASSINI
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Gender | Female
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Dates
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Enumeration Date | 06/07/2016
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Last Update Date | 07/01/2019
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Provider Practice Location Address
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Address Line | 41 E POST RD
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City | WHITE PLAINS
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State | NY
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Zip | 10601-4699
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Country | US
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Telephone | 914-681-0600
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Fax |
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Provider Business Mailing Address
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Address Line | 9 AUSTIN PL
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City | BRIARCLIFF MANOR
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State | NY
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Zip | 10510-2641
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Country | US
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Telephone | 573-450-9562
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 767242
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN655217
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License Number State | PA
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