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General NPI Number Information
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NPI Number | 1689119737
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Entity Type | Individual
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Provider Name | ALICIA NEBBLETT-ROBERTS FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/28/2016
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Last Update Date | 10/19/2025
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Provider Practice Location Address
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Address Line | 200 WILLOUGHBY AVE STE 117
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City | BROOKLYN
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State | NY
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Zip | 11205-3802
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Country | US
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Telephone | 917-689-9608
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Fax |
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Provider Business Mailing Address
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Address Line | 60 E 17TH ST APT 6N
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City | BROOKLYN
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State | NY
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Zip | 11226-2634
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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 |
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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 | 345080
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | F405900-1
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License Number State | NY
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