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General NPI Number Information
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NPI Number | 1164285664
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Entity Type | Organization
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Legal Business Name | NM WELLNESS IN FAMILY HEALTH NP PLLC
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Dates
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Enumeration Date | 02/06/2024
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 3166 E TREMONT AVE
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City | BRONX
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State | NY
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Zip | 10461-5755
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Country | US
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Telephone | 212-347-5887
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Fax | 702-974-8629
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Provider Business Mailing Address
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Address Line | 2021 HOLLAND AVE APT 4H
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City | BRONX
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State | NY
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Zip | 10462-2974
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Country | US
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Telephone | 646-326-3277
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Fax |
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Authorized Official
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Title or Position | FNP
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Name | NATARA MATIAS
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Credential | FNP
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Telephone | 646-326-3277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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