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General NPI Number Information
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NPI Number | 1528530250
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Entity Type | Individual
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Provider Name | TANDI MITCHELL
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Gender | Female
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Dates
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Enumeration Date | 12/19/2018
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 555 OCEAN AVE
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City | BROOKLYN
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State | NY
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Zip | 11226-3864
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Country | US
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Telephone | 212-687-7464
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Fax | 718-799-1049
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Provider Business Mailing Address
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Address Line | 6321 NEW UTRECHT AVE FL 2
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City | BROOKLYN
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State | NY
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Zip | 11219-5425
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Country | US
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Telephone | 212-687-7464
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Fax | 718-799-1049
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | F407489-01
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License Number State | NY
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