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General NPI Number Information
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NPI Number | 1598586612
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Entity Type | Individual
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Provider Name | NIMMY ANN JAMES NP
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Gender | Female
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Dates
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Enumeration Date | 10/21/2024
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 1651 PARK AVE
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-4324
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Country | US
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Telephone | 516-545-1274
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Fax |
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Provider Business Mailing Address
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Address Line | 2626 HALPERIN AVE
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City | BRONX
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State | NY
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Zip | 10461-2631
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Country | US
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Telephone | 718-618-0401
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Fax | 347-479-1303
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 2024060558
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License Number State | NY
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