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General NPI Number Information
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NPI Number | 1710400635
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Entity Type | Individual
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Provider Name | MICHELLE ANN JAMES
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Gender | Female
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Dates
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Enumeration Date | 07/23/2017
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Last Update Date | 03/13/2023
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Provider Practice Location Address
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Address Line | 550 1ST AVE
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City | NEW YORK
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State | NY
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Zip | 10016-6402
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Country | US
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Telephone | 646-929-7870
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Fax |
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Provider Business Mailing Address
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Address Line | 5003 68TH ST APT 3
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City | WOODSIDE
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State | NY
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Zip | 11377-7511
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Country | US
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Telephone | 347-975-0180
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 431153
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License Number State | NY
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