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General NPI Number Information
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NPI Number | 1992304604
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Entity Type | Individual
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Provider Name | ANGELIQUE SAAVEDRA NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 10/23/2020
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 744 BROADWAY STE. 2B
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City | BROOKLYN
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State | NY
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Zip | 11206
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Country | US
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Telephone | 347-335-0305
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Fax | 718-299-6797
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Provider Business Mailing Address
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Address Line | 139 CENTRE ST PH 120
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City | NEW YORK
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State | NY
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Zip | 10013-4559
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | F421459
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License Number State | NY
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