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NPI 1780498956

NPI 1780498956 : APRIL AMBER PRATT PA : AMITYVILLE, NY

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General NPI Number Information
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    NPI Number           |    1780498956
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    Entity Type          |    Individual 
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    Provider Name        |    APRIL AMBER PRATT PA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/06/2025
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    Last Update Date     |    02/06/2025
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Provider Practice Location Address
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    Address Line         |    618 BROADWAY 
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    City                 |    AMITYVILLE
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    State                |    NY
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    Zip                  |    11701-2124
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    Country              |    US
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    Telephone            |    516-795-5544
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    25 OAKLAND AVE 
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    City                 |    LYNBROOK
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    State                |    NY
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    Zip                  |    11563-3320
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    Country              |    US
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    Telephone            |    516-761-4769
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    
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    License Number State |    
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