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General NPI Number Information
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NPI Number | 1205765260
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Entity Type | Organization
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Legal Business Name | PIONEER HEALTH CARE NURSE PRACTITIONER IN FAMILY HEALTH
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Dates
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Enumeration Date | 05/15/2026
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Last Update Date | 05/15/2026
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Provider Practice Location Address
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Address Line | 60 SAINT JOHNS AVE
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City | YONKERS
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State | NY
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Zip | 10704-2902
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Country | US
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Telephone | 917-201-8545
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Fax |
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Provider Business Mailing Address
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Address Line | 60 SAINT JOHNS AVE
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City | YONKERS
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State | NY
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Zip | 10704-2902
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Country | US
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Telephone | 917-201-8545
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Fax |
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | PATRICE NICOLE FRASER
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Credential | DNP, FNP
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Telephone | 917-201-8545
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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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