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General NPI Number Information
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NPI Number | 1801149141
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Entity Type | Individual
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Provider Name | SHARONSHAY HUDSON RN, FNP PMHNP-BC DNP
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Gender | Female
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Dates
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Enumeration Date | 10/24/2012
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Last Update Date | 06/21/2025
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Provider Practice Location Address
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Address Line | 3380 BAYCHESTER AVE
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City | BRONX
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State | NY
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Zip | 10475-1514
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Country | US
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Telephone | 914-393-7947
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Fax |
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Provider Business Mailing Address
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Address Line | 3380 BAYCHESTER AVE
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City | BRONX
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State | NY
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Zip | 10475-1514
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Country | US
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Telephone | 914-393-7947
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 80858
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License Number State | SC
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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 | 3285403
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 334605
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | 471567
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License Number State | NY
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