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General NPI Number Information
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NPI Number | 1174325377
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Entity Type | Individual
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Provider Name | JOHANNES CHRISTOPH HIRT FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 03/26/2025
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 525 E 68TH ST
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City | NEW YORK
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State | NY
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Zip | 10065-4870
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Country | US
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Telephone | 212-746-0330
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Fax |
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Provider Business Mailing Address
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Address Line | 551 MORGAN AVE APT 2
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City | BROOKLYN
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State | NY
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Zip | 11222-4401
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Country | US
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Telephone | 804-564-7484
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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 | 0024190410
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License Number State | VA
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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 | F354104-01
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License Number State | NY
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