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General NPI Number Information
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NPI Number | 1558635599
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Entity Type | Individual
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Provider Name | YAWWAMAL DONENFELD RN
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Gender | Female
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Dates
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Enumeration Date | 03/07/2012
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Last Update Date | 03/07/2012
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Provider Practice Location Address
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Address Line | 1 FORDHAM PLZ RM 749 DEPT OF EDUCATION
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City | BRONX
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State | NY
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Zip | 10458-5871
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Country | US
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Telephone | 718-741-3085
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Fax | 718-329-8155
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Provider Business Mailing Address
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Address Line | 53 RED OAK LN
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City | MOUNT KISCO
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State | NY
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Zip | 10549-3933
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Country | US
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Telephone | 914-772-3263
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Fax | 718-329-8155
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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 | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | 413965
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License Number State | NY
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