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General NPI Number Information
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NPI Number | 1750683868
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Entity Type | Individual
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Provider Name | SAMANTHA KATHERINE KESTEN WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/22/2010
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Last Update Date | 04/20/2011
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Provider Practice Location Address
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Address Line | 6930 AUSTIN ST
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City | FOREST HILLS
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State | NY
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Zip | 11375-4231
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Country | US
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Telephone | 718-793-1943
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Fax |
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Provider Business Mailing Address
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Address Line | 33 TRAPPING WAY
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City | PLEASANTVILLE
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State | NY
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Zip | 10570-2523
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Country | US
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Telephone | 914-424-5812
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Fax | 914-741-6679
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 421013
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License Number State | NY
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