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General NPI Number Information
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NPI Number | 1346582459
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Entity Type | Individual
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Provider Name | JUDITH MARIAN O'CONNOR ACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/27/2013
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Last Update Date | 03/27/2013
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Provider Practice Location Address
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Address Line | 525 E. 68TH ST # M404 NEW YORK PRESBYTERIAN HOSPITAL
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City | NEW YORK
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State | NY
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Zip | 10065
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Country | US
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Telephone | 212-746-5150
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Fax |
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Provider Business Mailing Address
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Address Line | 24 ELLINGTON AVE
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City | ELLINGTON
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State | CT
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Zip | 06029-4125
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Country | US
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Telephone |
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | F430668-1
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License Number State | NY
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