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General NPI Number Information
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NPI Number | 1386440899
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Entity Type | Individual
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Provider Name | DEBORAH LORISSAINT
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Gender | Female
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 1490 SOUTHERN BLVD
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City | BRONX
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State | NY
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Zip | 10460-6262
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Country | US
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Telephone | 718-365-4044
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Fax |
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Provider Business Mailing Address
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Address Line | 30 NOYES AVE
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City | SPRING VALLEY
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State | NY
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Zip | 10977-5739
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 852360
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 852360
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License Number State | NY
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