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General NPI Number Information
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NPI Number | 1790983708
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Entity Type | Individual
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Provider Name | JENNIFER B. FERRARO N.P.P.
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Gender | Female
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 1050 HALLOCK AVE
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City | PORT JEFFERSON STATION
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State | NY
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Zip | 11776-1214
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Country | US
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Telephone | 631-300-6297
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Fax | 631-281-0427
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Provider Business Mailing Address
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Address Line | 11 PONCHO DR
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City | MASTIC
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State | NY
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Zip | 11950-1409
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Country | US
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Telephone | 631-300-6297
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Fax | 316-729-6675
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | F401071
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License Number State | NY
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