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General NPI Number Information
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NPI Number | 1043253404
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Entity Type | Individual
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Provider Name | CHRISTINE CORCORAN NP
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Gender | Female
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 01/24/2023
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Provider Practice Location Address
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Address Line | 7 CROTON AVE
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City | CORTLANDT MANOR
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State | NY
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Zip | 10567-5203
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Country | US
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Telephone | 914-682-5800
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Fax | 914-682-5800
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Provider Business Mailing Address
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Address Line | 5 SPRING MEADOW LN
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City | PEEKSKILL
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State | NY
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Zip | 10566-4947
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Country | US
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Telephone | 914-736-7726
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | F333829-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 403434
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License Number State | NY
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