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NPI Code Detail

MEDICARE: MRS. SALOMEY TAKYIBEA DAMPARE LPN

MEDICARE: MRS. SALOMEY TAKYIBEA DAMPARE 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 Nurse321380NY
2163W00000XRegistered Nurse822630NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821557232
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SALOMEY TAKYIBEA DAMPARE LPN
Provider Business Mailing Address
First Line : 728 E 233RD ST
Second Line :
City : BRONX
State : NY
Zip : 10466-3202
Country : US
Telephone Number : 347-899-8620
Fax Number :
Provider Business Practice Location Address
First Line : 728 E 233RD ST
Second Line :
City : BRONX
State : NY
Zip : 10466-3202
Country : US
Telephone Number : 347-899-8620
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2019
Last Update Date : 02/02/2026

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