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General NPI Number Information
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NPI Number | 1023908993
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Entity Type | Individual
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Provider Name | YOLEISY DURHAM FNP
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Gender | Female
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Dates
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Enumeration Date | 07/03/2025
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 970 N BROADWAY STE 204
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City | YONKERS
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State | NY
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Zip | 10701-1310
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Country | US
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Telephone | 914-303-6548
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Fax | 914-303-6435
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Provider Business Mailing Address
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Address Line | 26 OLD BEACH GLEN RD
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City | ROCKAWAY
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State | NJ
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Zip | 07866-1309
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Country | US
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Telephone | 347-734-1035
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F353429-01
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License Number State | NY
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