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General NPI Number Information
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NPI Number | 1467901165
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Entity Type | Individual
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Provider Name | HANNAH GRACE RUSH CRNP
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Gender | Female
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Dates
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Enumeration Date | 09/23/2016
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Last Update Date | 07/05/2022
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Provider Practice Location Address
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Address Line | 2050 DEAN ST
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City | BROOKLYN
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State | NY
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Zip | 11233-4002
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Country | US
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Telephone | 718-483-9871
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Fax | 718-771-3174
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Provider Business Mailing Address
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Address Line | 2050 DEAN ST
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City | BROOKLYN
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State | NY
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Zip | 11233-4002
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Country | US
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Telephone | 718-483-9871
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Fax | 718-771-3174
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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 | 1-138569
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 342433
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 402336
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License Number State | NY
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