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General NPI Number Information
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NPI Number | 1174337570
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Entity Type | Individual
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Provider Name | AMIR MOHAMMED PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 189 WOODLAND AVE
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City | YONKERS
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State | NY
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Zip | 10703-2317
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Country | US
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Telephone | 646-245-5595
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Fax |
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Provider Business Mailing Address
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Address Line | 189 WOODLAND AVE
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City | YONKERS
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State | NY
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Zip | 10703-2317
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Country | US
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Telephone | 646-245-5595
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | F407040
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 795465
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License Number State | NY
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