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General NPI Number Information
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NPI Number | 1215827753
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Entity Type | Organization
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Legal Business Name | YOUR HEALTH IN WELLNESS NP IN FAMILY HEALTH PLLC
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Dates
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Enumeration Date | 07/07/2025
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 1439 TROY AVE
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City | BROOKLYN
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State | NY
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Zip | 11203-6509
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Country | US
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Telephone | 917-271-9278
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Fax | 347-679-8171
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Provider Business Mailing Address
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Address Line | 248 ROUTE 25A STE 3156
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City | EAST SETAUKET
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State | NY
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Zip | 11733-2954
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Country | US
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Telephone | 917-271-9278
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Fax | 347-679-8171
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Authorized Official
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Title or Position | OWNER
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Name | STEPHANIE NAZAIRE
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Credential | NP
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Telephone | 917-271-9278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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