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General NPI Number Information
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NPI Number | 1124692462
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Entity Type | Individual
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Provider Name | KRISTEL PICKFORD FNP
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Gender | Female
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Dates
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Enumeration Date | 05/19/2021
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 3959 BROADWAY
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City | NEW YORK
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State | NY
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Zip | 10032-1559
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Country | US
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Telephone | 845-826-2464
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Fax |
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Provider Business Mailing Address
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Address Line | 17 ALLEN LN
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City | SLOATSBURG
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State | NY
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Zip | 10974-1723
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Country | US
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Telephone | 845-826-2464
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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 | 163WX0003X
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Taxonomy Name | Inpatient Obstetric Registered Nurse
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License Number | 641036
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License Number State | NY
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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 | 348640
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License Number State | NY
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