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General NPI Number Information
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NPI Number | 1538036090
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Entity Type | Individual
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Provider Name | MAUREEN JUDE KIDD MSN- PMHNP
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Gender | Female
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Dates
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Enumeration Date | 10/20/2025
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 1540 PELHAM PKWY S APT 3H
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City | BRONX
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State | NY
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Zip | 10461-1110
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Country | US
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Telephone | 347-968-5347
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Fax |
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Provider Business Mailing Address
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Address Line | 1540 PELHAM PKWY S APT 3H
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City | BRONX
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State | NY
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Zip | 10461-1110
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Country | US
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Telephone | 347-968-5347
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 199407
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License Number State | CT
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