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General NPI Number Information
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NPI Number | 1649314618
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Entity Type | Individual
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Provider Name | ABBY JACOBS STUTHERS R.N., N.P.
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Gender | Female
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | ST. VINCENT'S HOSPITAL, DEPT. OF COMMUNITY MEDICINE 170 WEST 12TH ST
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City | NEW YORK
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State | NY
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Zip | 10011-8202
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Country | US
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Telephone | 212-604-8073
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Fax | 212-604-7627
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Provider Business Mailing Address
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Address Line | ST. VINCENT'S HOSPITAL, DEPT. OF COMMUNITY MEDICINE 170 WEST 12TH ST
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City | NEW YORK
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State | NY
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Zip | 10011-8202
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Country | US
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Telephone |
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Fax | 212-604-7627
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | F400399-1
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License Number State | NY
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