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General NPI Number Information
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NPI Number | 1265778252
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Entity Type | Individual
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Provider Name | ESE PETER ABOHWO NP
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Gender | Male
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Dates
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Enumeration Date | 12/18/2012
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Last Update Date | 10/31/2021
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Provider Practice Location Address
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Address Line | 91 MCLEAN AVE
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City | YONKERS
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State | NY
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Zip | 10705-2481
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Country | US
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Telephone | 914-803-3575
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Fax |
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Provider Business Mailing Address
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Address Line | 130 GLENWOOD AVE APT 15
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City | YONKERS
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State | NY
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Zip | 10703-2640
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Country | US
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Telephone | 914-803-3575
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 402682
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License Number State | NY
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