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General NPI Number Information
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NPI Number | 1851054944
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Entity Type | Individual
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Provider Name | RASHAD JANEE PREVILLON PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/16/2021
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Last Update Date | 10/25/2023
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Provider Practice Location Address
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Address Line | 3010 41ST AVE STE 238
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-2814
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Country | US
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Telephone | 347-947-2665
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Fax |
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Provider Business Mailing Address
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Address Line | 21503 JAMAICA AVE # 1025
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City | QUEENS VILLAGE
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State | NY
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Zip | 11428-1783
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Country | US
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Telephone | 917-382-1183
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 403760
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License Number State | NY
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