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General NPI Number Information
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NPI Number | 1255155743
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Entity Type | Organization
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Legal Business Name | DAWN MICHAEL NURSE PRACTITIONER IN PSYCHIATRY PC
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Dates
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Enumeration Date | 11/11/2024
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 378 SYOSSET WOODBURY RD
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City | WOODBURY
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State | NY
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Zip | 11797-1200
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Country | US
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Telephone | 631-949-1878
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Fax |
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Provider Business Mailing Address
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Address Line | 5 BREWSTER ST. PMB 136
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City | GLEN COVE
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State | NY
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Zip | 11542
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER/OWNER
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Name | DAWN MICHAEL
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Credential | NP
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Telephone | 631-949-1878
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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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