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General NPI Number Information
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NPI Number | 1699602243
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Entity Type | Individual
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Provider Name | AMY LAURA MCMENAMIN RN
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Gender | Female
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Dates
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Enumeration Date | 05/07/2026
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Last Update Date | 05/07/2026
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Provider Practice Location Address
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Address Line | 530 E 70TH ST # M-522
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City | NEW YORK
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State | NY
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Zip | 10021-9800
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Country | US
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Telephone | 413-364-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 3419 33RD ST APT 7
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City | ASTORIA
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State | NY
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Zip | 11106-2225
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Country | US
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Telephone | 413-364-0000
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 713143
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License Number State | NY
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