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General NPI Number Information
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NPI Number | 1841447638
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Entity Type | Individual
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Provider Name | AINE MAIRE MCLERNON F.N.P.
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Gender | Female
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Dates
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Enumeration Date | 08/22/2008
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Last Update Date | 08/22/2008
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Provider Practice Location Address
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Address Line | GRASSLANDS ROAD
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City | VALHALLA
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State | NY
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Zip | 10595
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Country | US
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Telephone | 914-493-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 17 WOLDEN RD APT. B2
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City | OSSINING
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State | NY
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Zip | 10562-5130
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Country | US
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Telephone | 914-944-3432
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F335649-1
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License Number State | NY
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