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General NPI Number Information
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NPI Number | 1588553788
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Entity Type | Organization
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Legal Business Name | VALLEY OAKS NP IN PSYCHIATRY PC
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 405 RXR PLAZA STE 405E, 4TH FLOOR
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City | UNIONDALE
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State | NY
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Zip | 11556
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Country | US
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Telephone | 516-478-9200
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Fax | 516-812-0021
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Provider Business Mailing Address
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Address Line | 138 OLIVER AVE
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City | VALLEY STREAM
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State | NY
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Zip | 11580-1626
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Country | US
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Telephone | 516-478-9200
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Fax | 516-812-0021
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Authorized Official
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Title or Position | OWNER
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Name | RUTHE NORBRUN
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Credential | NP
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Telephone | 347-358-1297
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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