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General NPI Number Information
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NPI Number | 1659234334
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Entity Type | Organization
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Legal Business Name | WILLIAMSBURG NURSE PRACTITIONER IN PSYCHIATRY AND FAMILY HEALTH PLLC
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 240 KENT AVE KRS 20
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City | BROOKLYN
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State | NY
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Zip | 11249
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Country | US
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Telephone | 646-580-0723
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Fax |
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Provider Business Mailing Address
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Address Line | 9456 SPRINGFIELD BLVD
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City | QUEENS VILLAGE
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State | NY
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Zip | 11428-2146
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | HAO CHAU
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Credential | NP
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Telephone | 646-580-0723
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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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