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General NPI Number Information
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NPI Number | 1134600349
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Entity Type | Individual
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Provider Name | MARSHA M PRESCOD NP
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Gender | Female
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Dates
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Enumeration Date | 08/25/2018
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 1250 WATERS PL
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City | BRONX
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State | NY
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Zip | 10461-2720
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Country | US
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Telephone | 718-920-4646
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Fax |
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Provider Business Mailing Address
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Address Line | 280 LONGSTREET AVE APT 2H
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City | BRONX
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State | NY
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Zip | 10465-3735
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Country | US
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Telephone | 646-667-9954
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F342955
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License Number State | NY
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