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General NPI Number Information
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NPI Number | 1841631652
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Entity Type | Individual
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Provider Name | EMMET FRANCIS PHIPPS FNP
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Gender | Male
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Dates
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Enumeration Date | 07/09/2013
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Last Update Date | 06/23/2022
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Provider Practice Location Address
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Address Line | 53 W 23RD ST FL 6
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City | NEW YORK
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State | NY
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Zip | 10010-4237
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Country | US
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Telephone | 212-746-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 1700 ALBEMARLE RD 6K
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City | BROOKLYN
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State | NY
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Zip | 11226-4673
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Country | US
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Telephone | 646-678-6486
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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 | 338188
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License Number State | NY
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