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General NPI Number Information
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NPI Number | 1194558817
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Entity Type | Organization
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Legal Business Name | NURSE NEIGHBOR RN NP FAMILY HEALTH PLLC
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Dates
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Enumeration Date | 08/20/2024
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 17 FIRETHORNE LN
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City | VALLEY STREAM
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State | NY
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Zip | 11581-1727
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Country | US
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Telephone | 516-847-2418
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Fax | 970-233-4556
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Provider Business Mailing Address
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Address Line | 17 FIRETHORNE LN
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City | VALLEY STREAM
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State | NY
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Zip | 11581-1727
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Country | US
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Telephone | 516-847-2418
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Fax | 970-233-4556
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Authorized Official
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Title or Position | CEO
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Name | GRACE OLAMIJULO
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Credential | NP
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Telephone | 516-847-2418
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LX0106X
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Taxonomy Name | Occupational Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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