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General NPI Number Information
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NPI Number | 1811847270
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Entity Type | Organization
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Legal Business Name | MAINTAIN HEALTH WITH PURPOSE NP IN FAMILY HEALTH, PLLC
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Dates
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Enumeration Date | 02/03/2026
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Last Update Date | 03/08/2026
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Provider Practice Location Address
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Address Line | 20515 HOLLIS AVE
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City | SAINT ALBANS
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State | NY
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Zip | 11412-1417
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Country | US
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Telephone | 516-992-6265
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Fax |
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Provider Business Mailing Address
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Address Line | 11416 194TH ST
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City | SAINT ALBANS
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State | NY
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Zip | 11412-2731
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Country | US
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Telephone | 516-992-6265
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Fax |
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | MS. ODEISHA M MAITLAND
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Credential | NP
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Telephone | 516-992-6265
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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