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General NPI Number Information
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NPI Number | 1174178396
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Entity Type | Organization
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Legal Business Name | INSTANT CARE NP IN FAMILY HEALTH
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Dates
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Enumeration Date | 08/05/2019
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Last Update Date | 08/05/2019
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Provider Practice Location Address
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Address Line | 89 TENNYSON DR
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City | NANUET
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State | NY
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Zip | 10954-1039
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Country | US
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Telephone | 914-573-1642
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Fax |
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Provider Business Mailing Address
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Address Line | 89 TENNYSON DR
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City | NANUET
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State | NY
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Zip | 10954-1039
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | ANN TENY MERIL
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Credential | DNP
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Telephone | 914-573-1642
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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