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General NPI Number Information
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NPI Number | 1346164795
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Entity Type | Individual
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Provider Name | REBECCA MICHELE PAUL
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Gender | Female
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Dates
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Enumeration Date | 08/07/2026
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Last Update Date | 08/07/2026
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Provider Practice Location Address
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Address Line | 220 5TH AVE FL 11
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City | NEW YORK
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State | NY
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Zip | 10001-8017
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Country | US
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Telephone | 645-522-9714
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Fax |
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Provider Business Mailing Address
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Address Line | 5392 66TH ST
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City | MASPETH
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State | NY
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Zip | 11378-1647
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Country | US
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Telephone | 646-522-9714
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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 | 408962
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License Number State | NY
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