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General NPI Number Information
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NPI Number | 1023529369
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Entity Type | Organization
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Legal Business Name | B.T.M. PSYCHIATRIC NP SERVICES, PLLC
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Dates
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Enumeration Date | 10/13/2017
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Last Update Date | 10/13/2017
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Provider Practice Location Address
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Address Line | 11 W PROSPECT AVE, 3RD FL SUITE #5B
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City | MOUNT VERNON
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State | NY
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Zip | 10550
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Country | US
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Telephone | 914-363-9299
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Fax | 914-243-9160
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Provider Business Mailing Address
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Address Line | 11 W PROSPECT AVE 3RD FL. SUITE 5B
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City | MOUNT VERNON
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State | NY
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Zip | 10550-2017
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Country | US
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Telephone | 914-363-9299
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Fax | 914-243-1970
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Authorized Official
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Title or Position | OWNER/SOLE PROPRIETOR
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Name | BRIANA T MORRISON
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Credential | FPMHNP-BC
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Telephone | 914-363-9299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 401398
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License Number State | NY
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