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General NPI Number Information
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NPI Number | 1073220281
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Entity Type | Individual
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Provider Name | ALEXANDRE CARVALHO DA SILVA PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 10/28/2022
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Last Update Date | 03/05/2024
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Provider Practice Location Address
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Address Line | 420 E 76TH ST
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City | NEW YORK
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State | NY
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Zip | 10021-3396
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Country | US
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Telephone | 201-574-7263
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Fax |
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Provider Business Mailing Address
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Address Line | 131 SHIPPEN ST
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City | WEEHAWKEN
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State | NJ
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Zip | 07086-5621
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Country | US
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Telephone | 718-877-7684
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 404450
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License Number State | NY
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