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General NPI Number Information
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NPI Number | 1689795353
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Entity Type | Organization
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Legal Business Name | PLANNED PARENTHOOD HUDSON PECONIC
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 09/07/2023
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Provider Practice Location Address
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Address Line | 247 NORTH AVE
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City | NEW ROCHELLE
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State | NY
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Zip | 10801
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Country | US
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Telephone | 914-632-4442
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Fax | 914-632-4625
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Provider Business Mailing Address
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Address Line | 4 SKYLINE DR
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City | HAWTHORNE
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State | NY
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Zip | 10532-2147
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Country | US
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Telephone | 914-632-4442
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Fax | 914-632-4629
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Authorized Official
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Title or Position | MANAGER, MEDICAID AND MANAGED CARE
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Name | MS. LYNDA O'HANLON
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Credential | MPA
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Telephone | 914-467-7331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | F420165
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License Number State | NY
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