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General NPI Number Information
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NPI Number | 1588208672
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Entity Type | Individual
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Provider Name | KATHERINE SULLIVAN PMHNP
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Gender | Female
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Dates
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Enumeration Date | 10/31/2019
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Last Update Date | 07/12/2021
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Provider Practice Location Address
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Address Line | 521 5TH AVE STE 1722
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City | NEW YORK
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State | NY
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Zip | 10175-0003
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Country | US
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Telephone | 917-740-5287
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Fax |
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Provider Business Mailing Address
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Address Line | 521 5TH AVE STE 1722
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City | NEW YORK
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State | NY
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Zip | 10175-0003
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Country | US
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Telephone | 917-740-5287
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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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 779773
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 403481
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License Number State | NY
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