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General NPI Number Information
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NPI Number | 1518187533
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Entity Type | Individual
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Provider Name | ANNE ELIZABETH MAVOR APRN
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Gender | Female
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 4513 MANHATTAN COLLEGE PKWY
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City | BRONX
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State | NY
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Zip | 10471-4004
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Country | US
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Telephone | 718-862-7217
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Fax | 718-862-7797
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Provider Business Mailing Address
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Address Line | 68 VALLEY RD
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City | STAMFORD
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State | CT
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Zip | 06902-2812
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Country | US
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Telephone | 203-323-1328
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Fax |
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 002194
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License Number State | CT
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