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General NPI Number Information
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NPI Number | 1245862804
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Entity Type | Organization
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Legal Business Name | EMPIRE NP PSYCHIATRIC CARE, PLLC
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Dates
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Enumeration Date | 02/11/2020
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Last Update Date | 02/11/2020
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Provider Practice Location Address
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Address Line | 22 NOTTINGHAM WAY
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City | COHOES
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State | NY
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Zip | 12047-4972
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Country | US
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Telephone | 518-334-1594
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Fax | 518-783-1964
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Provider Business Mailing Address
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Address Line | 22 NOTTINGHAM WAY
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City | COHOES
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State | NY
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Zip | 12047-4972
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Country | US
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Telephone | 518-334-1594
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Fax | 518-783-1964
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Authorized Official
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Title or Position | PSYCHIATRY NP
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Name | ELMER JONES TADENA ELMA
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Credential | PMHNP
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Telephone | 518-334-1594
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number |
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License Number State |
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