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General NPI Number Information
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NPI Number | 1194539627
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Entity Type | Organization
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Legal Business Name | SONDER NURSE PRACTITIONER IN PSYCHIATRY PLLC
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 276 5TH AVE RM 604
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City | NEW YORK
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State | NY
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Zip | 10001-4527
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Country | US
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Telephone | 929-781-4218
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Fax |
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Provider Business Mailing Address
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Address Line | 1126 WATERVIEW ST
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691-1755
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Country | US
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Telephone | 917-442-2674
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Fax |
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Authorized Official
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Title or Position | OWNER/ NURSE PRACTITIONER
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Name | MS. DESIREE ROBINSON
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Credential | NP
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Telephone | 929-781-4218
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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 |
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License Number State |
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