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General NPI Number Information
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NPI Number | 1518706712
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Entity Type | Organization
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Legal Business Name | AVI MIND P.C.
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Dates
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Enumeration Date | 05/20/2024
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Last Update Date | 05/20/2024
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Provider Practice Location Address
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Address Line | 353 LEXINGTON AVE
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City | NEW YORK
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State | NY
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Zip | 10016-0941
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Country | US
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Telephone | 516-464-8404
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Fax |
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Provider Business Mailing Address
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Address Line | 30 N GOULD ST STE 11977
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City | SHERIDAN
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State | WY
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Zip | 82801-6317
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Country | US
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Telephone | 516-464-8410
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | AVIGAIL SPETNER
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Credential | NP
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Telephone | 516-464-8410
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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 |
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