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General NPI Number Information
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NPI Number | 1417755604
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Entity Type | Organization
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Legal Business Name | JEREMY WALSH NP IN PSYCHIATRY PLLC
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 418 BROADWAY # 5474
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City | ALBANY
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State | NY
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Zip | 12207-2922
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Country | US
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Telephone | 917-426-3210
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Fax | 917-277-7399
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Provider Business Mailing Address
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Address Line | 418 BROADWAY # 5474
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City | ALBANY
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State | NY
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Zip | 12207-2922
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Country | US
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Telephone | 917-426-3210
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Fax | 917-277-7399
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER
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Name | JEREMY WALSH
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Credential |
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Telephone | 201-373-2330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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