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General NPI Number Information
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NPI Number | 1831277839
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Entity Type | Individual
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Provider Name | LYNNE BETH WEISSMAN NP
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 719 W NYACK RD SUITE 32
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City | WEST NYACK
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State | NY
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Zip | 10994-2240
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Country | US
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Telephone | 845-358-7770
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Fax | 845-348-3417
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Provider Business Mailing Address
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Address Line | 6 WINDSOR CIR
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City | NEW CITY
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State | NY
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Zip | 10956-1145
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Country | US
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Telephone | 845-354-4706
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Fax | 845-354-5097
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | F381023-1
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License Number State | NY
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