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General NPI Number Information
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NPI Number | 1790506624
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Entity Type | Organization
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Legal Business Name | E AFFUL WELLNESS CARE NP IN FAMILY HEALTH PLLC
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Dates
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Enumeration Date | 10/23/2024
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 140 CASALS PL UNIT B
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City | BRONX
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State | NY
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Zip | 10475-3202
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Country | US
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Telephone | 908-265-6246
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Fax |
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Provider Business Mailing Address
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Address Line | 140 CASALS PL UNIT B
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City | BRONX
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State | NY
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Zip | 10475-3202
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | NP
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Name | MR. EDDIE AFFUL
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Credential | NP
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Telephone | 908-265-6246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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