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General NPI Number Information
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NPI Number | 1346077195
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Entity Type | Individual
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Provider Name | SAMIRA HAFIZ PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/16/2024
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 200 VESEY ST RM 24066
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City | NEW YORK
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State | NY
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Zip | 10281-5525
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Country | US
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Telephone | 347-968-7277
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Fax | 718-550-6533
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Provider Business Mailing Address
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Address Line | 200 VESEY ST RM 24066
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City | NEW YORK
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State | NY
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Zip | 10281-5525
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Country | US
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Telephone | 347-968-7277
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Fax | 718-550-6533
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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 | 406345
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License Number State | NY
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