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General NPI Number Information
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NPI Number | 1487558904
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Entity Type | Organization
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Legal Business Name | JENA SIMON NP IN PSYCHIATRY AND FAMILY HEALTH LLC
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Dates
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Enumeration Date | 10/07/2026
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Last Update Date | 10/07/2026
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Provider Practice Location Address
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Address Line | 56 LINCOLN AVE
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City | ARDSLEY
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State | NY
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Zip | 10502-2416
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Country | US
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Telephone | 917-268-1529
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Fax | 917-268-9665
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Provider Business Mailing Address
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Address Line | 56 LINCOLN AVE
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City | ARDSLEY
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State | NY
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Zip | 10502-2416
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Country | US
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Telephone | 917-268-1529
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Fax | 917-268-9665
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Authorized Official
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Title or Position | OWNER
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Name | JENA SIMON
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Credential | DNP
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Telephone | 917-912-2946
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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 |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State | NULL
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