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General NPI Number Information
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NPI Number | 1770247256
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Entity Type | Individual
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Provider Name | ARNELL FAY TUTTLE NP
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Gender | Female
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Dates
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Enumeration Date | 10/29/2021
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Last Update Date | 04/26/2025
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Provider Practice Location Address
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Address Line | 1 FAMILY PRACTICE DR
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City | KINGSTON
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State | NY
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Zip | 12401-6449
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Country | US
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Telephone | 845-338-6400
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Fax | 845-633-5963
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Provider Business Mailing Address
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Address Line | 108 SAWDUST AVE
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City | KINGSTON
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State | NY
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Zip | 12401-8443
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Country | US
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Telephone | 845-242-8764
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 553024-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 404978
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License Number State | NY
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