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General NPI Number Information
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NPI Number | 1447144662
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Entity Type | Organization
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Legal Business Name | AO FAMILY HEALTH NURSE PRACTITIONER PC
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Dates
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Enumeration Date | 06/03/2025
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 2134 BROADWAY
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City | ASTORIA
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State | NY
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Zip | 11106-4603
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Country | US
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Telephone | 718-204-6900
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Fax |
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Provider Business Mailing Address
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Address Line | 224 N GROVE ST
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City | VALLEY STREAM
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State | NY
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Zip | 11580-3412
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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 | OWNER
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Name | ASHLEY ANNMARIE ORENSHTEYN
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Credential | FNP-BC
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Telephone | 347-631-5545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number |
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License Number State |
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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 |
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License Number State |
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