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General NPI Number Information
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NPI Number | 1467756569
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Entity Type | Individual
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Provider Name | BRIDGET LENNON PMHNP
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Gender | Female
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Dates
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Enumeration Date | 01/04/2011
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Last Update Date | 05/07/2024
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Provider Practice Location Address
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Address Line | 239 N BROADWAY STE 6
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City | SLEEPY HOLLOW
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State | NY
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Zip | 10591-2654
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Country | US
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Telephone | 212-801-2082
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Fax | 888-706-1331
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Provider Business Mailing Address
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Address Line | 242 MAIN ST # 317
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City | BEACON
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State | NY
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Zip | 12508-2732
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Country | US
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Telephone | 212-801-2082
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Fax | 914-371-3847
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 402805
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License Number State | NY
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