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General NPI Number Information
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NPI Number | 1700442837
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Entity Type | Individual
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Provider Name | SEBRIA MARIE FARQUHARSON FNP
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Gender | Female
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Dates
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Enumeration Date | 05/14/2019
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 4 WYNDOVER RD
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City | WHITE PLAINS
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State | NY
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Zip | 10603-3017
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Country | US
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Telephone | 914-552-2023
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Fax |
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Provider Business Mailing Address
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Address Line | 11 BROADWAY
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City | NEW YORK
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State | NY
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Zip | 10004-1303
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 809008
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 335172
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 357228
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License Number State | NY
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