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General NPI Number Information
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NPI Number | 1073471934
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Entity Type | Organization
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Legal Business Name | PATH TO WELLNESS NP IN FAMILY HEALTH
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 3446 VERNON BLVD APT E507
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City | ASTORIA
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State | NY
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Zip | 11106-5407
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Country | US
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Telephone | 619-709-0052
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Fax |
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Provider Business Mailing Address
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Address Line | 3446 VERNON BLVD
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City | ASTORIA
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State | NY
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Zip | 11106-5400
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Country | US
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Telephone |
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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 | MEIQI AN
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Credential | NP
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Telephone | 619-709-0052
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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