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NPI Code Detail

MEDICARE: ADELLE DUPONT LPN

MEDICARE:   ADELLE  DUPONT  LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse318201NY

General Provider Information

NPI Number : 1821402686
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADELLE DUPONT LPN
Provider Business Mailing Address
First Line : 1243 E 35TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-4821
Country : US
Telephone Number : 347-942-1607
Fax Number : 718-978-0032
Provider Business Practice Location Address
First Line : 1243 E 35TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-4821
Country : US
Telephone Number : 347-942-1607
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2014
Last Update Date : 06/19/2014

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Directions to “ ADELLE DUPONT LPN” Practice Location

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