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General NPI Number Information
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NPI Number | 1386435311
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Entity Type | Individual
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Provider Name | NATHANIA PIERRE
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Gender | Female
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Dates
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Enumeration Date | 05/17/2025
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 405 W 4TH ST
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City | PORTALES
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State | NM
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Zip | 88130-6364
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Country | US
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Telephone | 754-465-2122
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Fax | 575-226-3890
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Provider Business Mailing Address
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Address Line | 4231 SW 39TH ST
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City | WEST PARK
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State | FL
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Zip | 33023-6209
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Country | US
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Telephone | 754-465-2122
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Fax | 575-226-3890
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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 | 11033724
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License Number State | FL
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