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General NPI Number Information
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NPI Number | 1013529478
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Entity Type | Organization
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Legal Business Name | NARROW PATH FAMILY HEALTH NP PC
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Dates
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Enumeration Date | 08/18/2020
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Last Update Date | 08/18/2020
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Provider Practice Location Address
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Address Line | 158 PIKE ST
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City | PORT JERVIS
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State | NY
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Zip | 12771-1800
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Country | US
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Telephone | 845-548-2515
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Fax |
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Provider Business Mailing Address
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Address Line | 90 STATE ST STE 700
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City | ALBANY
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State | NY
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Zip | 12207-1707
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Country | US
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Telephone | 845-548-2515
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Fax |
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | AVION JACQUELINE THOMAS-WALSH
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Credential | FNP
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Telephone | 845-548-2515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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