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General NPI Number Information
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NPI Number | 1639998115
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Entity Type | Organization
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Legal Business Name | KEVIN XUEREB NURSE PRACTITIONER IN PSYCHIATRY
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Dates
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Enumeration Date | 10/10/2024
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Last Update Date | 12/26/2025
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Provider Practice Location Address
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Address Line | 12 DONALD PL
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City | STATEN ISLAND
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State | NY
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Zip | 10310-1615
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Country | US
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Telephone | 929-464-0631
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Fax |
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Provider Business Mailing Address
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Address Line | 1885 HYLAN BLVD
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City | STATEN ISLAND
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State | NY
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Zip | 10305-2110
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Country | US
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Telephone | 929-464-0631
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | KEVIN MICHAEL XUEREB
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Credential | NP
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Telephone | 929-464-0631
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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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