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General NPI Number Information
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NPI Number | 1285761270
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Entity Type | Individual
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Provider Name | BERNADETTE HUVANE RNP
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Gender | Female
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 111 E 210TH ST MMC - DEPT OF FAMILY MEDICINE
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City | BRONX
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State | NY
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Zip | 10467-2401
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Country | US
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Telephone | 718-920-6378
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Fax |
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Provider Business Mailing Address
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Address Line | 23 DOWNER AVE
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City | SCARSDALE
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State | NY
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Zip | 10583-4946
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Country | US
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Telephone | 718-920-6378
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Fax | 718-881-6054
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 334113
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License Number State | NY
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