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General NPI Number Information
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NPI Number | 1497659098
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Entity Type | Organization
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Legal Business Name | ANCHOR NP IN PSYCHIATRY SERVICES PLLC
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 68 S SERVICE RD STE 100
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City | MELVILLE
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State | NY
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Zip | 11747-2350
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Country | US
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Telephone | 516-316-4689
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Fax | 925-281-2589
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Provider Business Mailing Address
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Address Line | 68 S SERVICE RD STE 100
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City | MELVILLE
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State | NY
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Zip | 11747-2350
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Country | US
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Telephone | 516-316-4689
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Fax | 925-281-2589
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Authorized Official
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Title or Position | PROVIDER
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Name | MRS. AVESTA MIRIAM KHURSAND
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Credential | NP
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Telephone | 516-316-4689
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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 |
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License Number State | NULL
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