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General NPI Number Information
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NPI Number | 1679806699
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Entity Type | Individual
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Provider Name | SHERINA RICHARDS FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/09/2009
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Last Update Date | 05/17/2018
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Provider Practice Location Address
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Address Line | 30 SCOFIELD CT
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City | PEEKSKILL
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State | NY
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Zip | 10566
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Country | US
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Telephone | 646-675-6786
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Fax |
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Provider Business Mailing Address
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Address Line | 3143 EDSON AVE
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City | BRONX
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State | NY
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Zip | 10469-3126
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Country | US
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Telephone | 646-675-6786
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 342785
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 618382
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License Number State | NY
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