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General NPI Number Information
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NPI Number | 1396978334
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Entity Type | Individual
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Provider Name | MARY H MCENERNEY NP
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Gender | Female
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Dates
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Enumeration Date | 08/25/2009
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Last Update Date | 08/25/2009
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Provider Practice Location Address
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Address Line | 227 W 27TH ST A402
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City | NEW YORK
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State | NY
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Zip | 10001-5902
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Country | US
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Telephone | 212-217-4190
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Fax | 212-217-4191
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Provider Business Mailing Address
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Address Line | 227 W 27TH ST A402
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City | NEW YORK
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State | NY
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Zip | 10001-5902
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Country | US
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Telephone | 212-217-4190
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Fax | 212-217-4191
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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 | 331808
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License Number State | NY
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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 | 9256273
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License Number State | FL
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