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General NPI Number Information
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NPI Number | 1275233421
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Entity Type | Organization
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Legal Business Name | NADIA POWELL DNP, NP IN PSYCHIATRY PLLC
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Dates
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Enumeration Date | 03/07/2023
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 29 NOSTRAND AVE
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City | BRENTWOOD
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State | NY
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Zip | 11717-2401
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Country | US
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Telephone | 631-456-9481
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Fax |
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Provider Business Mailing Address
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Address Line | 165 N VILLAGE AVE STE 12
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City | ROCKVILLE CTR
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State | NY
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Zip | 11570-3701
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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 | OWNER
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Name | NADIA POWELL
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Credential |
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Telephone | 631-456-9481
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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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