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General NPI Number Information
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NPI Number | 1558795617
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Entity Type | Individual
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Provider Name | MUTITA PLABPRASIT HONSBERGER ARNP
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Gender | Female
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Dates
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Enumeration Date | 08/26/2013
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 2 CHURCH ST
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City | OSSINING
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State | NY
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Zip | 10562-4818
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Country | US
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Telephone | 914-502-1415
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Fax | 914-502-1347
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Provider Business Mailing Address
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Address Line | 131 LONG HILL RD E
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City | BRIARCLIFF MANOR
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State | NY
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Zip | 10510-2613
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Country | US
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Telephone | 518-222-7584
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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 | 339172
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License Number State | NY
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