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General NPI Number Information
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NPI Number | 1083096432
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Entity Type | Individual
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Provider Name | TASIA HENDERSON DNP
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Gender | Female
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Dates
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Enumeration Date | 06/22/2015
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Last Update Date | 06/01/2025
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Provider Practice Location Address
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Address Line | 180 S BROADWAY STE 207
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City | WHITE PLAINS
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State | NY
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Zip | 10605-1845
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Country | US
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Telephone | 845-690-0058
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Fax | 401-287-8847
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Provider Business Mailing Address
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Address Line | 180 S BROADWAY STE 207
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City | WHITE PLAINS
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State | NY
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Zip | 10605-1845
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Country | US
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Telephone | 914-200-4368
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Fax | 914-226-3251
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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 | RN2276358
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN00690
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 403452
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 26NJ15137100
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 13119
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License Number State | CT
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN02587
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License Number State | RI
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