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General NPI Number Information
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NPI Number | 1255880480
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Entity Type | Individual
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Provider Name | JOAN KERSHAW-MORRIS NP-C
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Gender | Female
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Dates
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Enumeration Date | 09/29/2016
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Last Update Date | 01/12/2024
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Provider Practice Location Address
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Address Line | 2101 41ST AVE
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-4801
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Country | US
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Telephone | 718-784-2240
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Fax |
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Provider Business Mailing Address
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Address Line | 2101 41ST AVE
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-4801
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Country | US
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Telephone | 718-784-2240
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | AC001898
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | LG-0000956
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0341330
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License Number State | NY
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