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General NPI Number Information
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NPI Number | 1316838311
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Entity Type | Organization
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Legal Business Name | NURSE PRACTITIONER FAMILY HEALTH & ACUPUNCTURE WELLNESS SVCS PLLC
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Dates
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Enumeration Date | 07/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1995 STATE ROUTE 17M SUITE #2
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City | GOSHEN
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State | NY
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Zip | 10924
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Country | US
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Telephone | 845-315-7017
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Fax |
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Provider Business Mailing Address
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Address Line | 1995 STATE ROUTE 17M SUITE #2
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City | GOSHEN
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State | NY
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Zip | 10924
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Country | US
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Telephone | 845-315-7017
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Fax |
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Authorized Official
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Title or Position | NP
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Name | MRS. UCHENNA E EGWUONWU
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Credential | DAOM, FNP, PSYCH NP
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Telephone | 845-315-7017
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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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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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