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General NPI Number Information
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NPI Number | 1205769486
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Entity Type | Organization
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Legal Business Name | PEACEFUL PROGRESS INCORPORATED
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Dates
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Enumeration Date | 06/05/2026
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Last Update Date | 06/05/2026
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Provider Practice Location Address
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Address Line | 279 PRESCOTT AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10306-3246
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Country | US
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Telephone | 917-496-6547
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Fax | 888-649-3690
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Provider Business Mailing Address
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Address Line | 279 PRESCOTT AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10306-3246
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Country | US
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Telephone | 917-496-6547
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Fax | 888-649-3690
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Authorized Official
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Title or Position | PRESIDENT
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Name | LILLIAN MCNAMARA
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Credential | NP
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Telephone | 917-496-6547
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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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