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General NPI Number Information
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NPI Number | 1558740704
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Entity Type | Individual
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Provider Name | COLETTE VINCENT FNP
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Gender | Female
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Dates
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Enumeration Date | 05/20/2015
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 907 E TREMONT AVE FL 2
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City | BRONX
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State | NY
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Zip | 10460-4301
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Country | US
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Telephone | 914-469-0700
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Fax | 914-306-8240
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Provider Business Mailing Address
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Address Line | 4057 BAYCHESTER AVE
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City | BRONX
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State | NY
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Zip | 10466-2313
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Country | US
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Telephone | 931-922-1239
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F3402015
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License Number State | NY
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