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General NPI Number Information
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NPI Number | 1588328082
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Entity Type | Organization
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Legal Business Name | EQUIPPED MIND PSYCHIATRY NP SERVICES PC
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Dates
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Enumeration Date | 10/29/2021
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 130 PONDFIELD RD STE 1
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City | BRONXVILLE
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State | NY
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Zip | 10708-4016
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Country | US
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Telephone | 914-207-3373
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Fax | 516-500-9533
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Provider Business Mailing Address
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Address Line | 130 GLENWOOD AVE APT 15
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City | YONKERS
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State | NY
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Zip | 10703-2640
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Country | US
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Telephone | 914-803-3575
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Fax | 516-500-9533
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER
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Name | ESE P ABOHWO
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Credential | NP
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Telephone | 914-803-3575
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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 |
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License Number State |
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