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General NPI Number Information
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NPI Number | 1376748558
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Entity Type | Individual
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Provider Name | PHEDRE PHARA PAULEMON MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/18/2007
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 375 LINDEN BLVD
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City | BROOKLYN
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State | NY
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Zip | 11203-2709
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Country | US
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Telephone | 917-907-0797
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Fax | 718-540-8678
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Provider Business Mailing Address
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Address Line | 2525 NOSTRAND AVE APT 2C
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City | BROOKLYN
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State | NY
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Zip | 11210-4715
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Country | US
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Telephone | 954-867-6982
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Fax | 917-933-4212
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 12.0095564
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2598428
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 343011
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 343011
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License Number State | NY
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