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General NPI Number Information
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NPI Number | 1740848134
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Entity Type | Organization
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Legal Business Name | SP WOMENS HEALTH NP SERVICES PLLC
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Dates
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Enumeration Date | 05/31/2019
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Last Update Date | 04/08/2021
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Provider Practice Location Address
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Address Line | 6 GRAMATAN AVE STE 618
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City | MOUNT VERNON
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State | NY
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Zip | 10550-3208
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Country | US
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Telephone | 914-200-4660
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Fax |
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Provider Business Mailing Address
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Address Line | 4 FORDHAM HILL OVAL APT 1D
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City | BRONX
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State | NY
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Zip | 10468-4718
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Country | US
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Telephone | 917-822-0243
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Fax |
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Authorized Official
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Title or Position | OWNER/NP
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Name | MS. SHATONYA PERRY
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Credential | NP - WOMEN'S HEALTH
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Telephone | 917-822-0243
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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 |
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License Number State |
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