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General NPI Number Information
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NPI Number | 1639298524
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Entity Type | Individual
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Provider Name | ANN MARGARET WALSH NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 462 1ST AVE NEW BLUIDING SUITE 4D
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City | NEW YORK
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State | NY
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Zip | 10016-9196
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Country | US
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Telephone | 212-562-5794
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Fax |
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Provider Business Mailing Address
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Address Line | 6518 79TH PL
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City | MIDDLE VILLAGE
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State | NY
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Zip | 11379-2721
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Country | US
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Telephone | 718-894-8477
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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 | F331835
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License Number State | NY
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