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General NPI Number Information
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NPI Number | 1144837360
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Entity Type | Organization
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Legal Business Name | HARMONIC ADULT HEALTH NP PLLC
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Dates
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Enumeration Date | 09/30/2020
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Last Update Date | 09/30/2020
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Provider Practice Location Address
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Address Line | 2303 STATE ROUTE 28A
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City | OLIVEBRIDGE
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State | NY
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Zip | 12461-5708
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Country | US
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Telephone | 845-901-1594
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 83
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City | OLIVEBRIDGE
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State | NY
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Zip | 12461-0083
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Country | US
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Telephone | 845-901-1594
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Fax |
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Authorized Official
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Title or Position | SOLE MBR
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Name | MS. OKSANA NICHOLS
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Credential | NP
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Telephone | 845-901-1594
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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