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General NPI Number Information
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NPI Number | 1477319416
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Entity Type | Organization
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Legal Business Name | ROCKLAND WELLNESS FAMILY HEALTH NP RN PLLC
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Dates
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Enumeration Date | 02/27/2024
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Last Update Date | 02/27/2024
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Provider Practice Location Address
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Address Line | 11 MEDICAL PARK DR STE 104
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City | POMONA
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State | NY
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Zip | 10970-3559
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Country | US
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Telephone | 845-827-3528
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Fax |
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Provider Business Mailing Address
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Address Line | 11 MEDICAL PARK DR STE 104
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City | POMONA
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State | NY
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Zip | 10970-3559
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Country | US
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Telephone | 845-827-3528
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRIAN BELLER
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Credential |
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Telephone | 845-827-3528
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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