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General NPI Number Information
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NPI Number | 1326547613
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Entity Type | Individual
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Provider Name | TEMITOPE SHODEINDE PMHNP
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Gender | Female
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Dates
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Enumeration Date | 02/01/2018
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 126 LIBRARY LN
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City | MAMARONECK
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State | NY
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Zip | 10543-3608
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Country | US
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Telephone | 914-670-1156
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Fax |
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Provider Business Mailing Address
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Address Line | 1276 FULTON AVE
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City | BRONX
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State | NY
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Zip | 10456-3467
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Country | US
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Telephone | 718-992-7669
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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 | 406584
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License Number State | NY
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