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General NPI Number Information
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NPI Number | 1396601308
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Entity Type | Organization
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Legal Business Name | MICHELLE TAMARE
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Dates
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Enumeration Date | 01/03/2026
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Last Update Date | 01/03/2026
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Provider Practice Location Address
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Address Line | 620 FORT WASHINGTON AVE APT B
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City | NEW YORK
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State | NY
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Zip | 10040-3930
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Country | US
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Telephone | 917-443-4773
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Fax | 917-443-4773
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Provider Business Mailing Address
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Address Line | 300 WIERIMUS RD
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City | HILLSDALE
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State | NJ
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Zip | 07642-1133
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Country | US
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Telephone | 646-496-6240
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Fax | 917-443-4773
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Authorized Official
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Title or Position | NURSE PRACITIONER
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Name | MICHELLE TAMAREZ
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Credential | WHNP-BC
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Telephone | 646-496-6240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number |
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License Number State |
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