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General NPI Number Information
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NPI Number | 1457039984
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Entity Type | Individual
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Provider Name | MS. QUASHA D'ANDRA MOREFIELD
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Gender | Female
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Dates
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Enumeration Date | 07/05/2023
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Last Update Date | 10/09/2026
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Provider Practice Location Address
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Address Line | 3219 E TREMONT AVE
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City | BRONX
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State | NY
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Zip | 10461-5751
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Country | US
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Telephone | 718-792-8115
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Fax |
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Provider Business Mailing Address
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Address Line | 3004 WICKHAM AVE
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City | BRONX
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State | NY
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Zip | 10469-3218
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Country | US
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Telephone | 347-730-3540
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F356005
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License Number State | NY
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