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General NPI Number Information
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NPI Number | 1851086169
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Entity Type | Organization
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Legal Business Name | TOTAL INTEGRATED WOMEN'S HEALTH NP PLLC
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Dates
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Enumeration Date | 04/11/2023
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 180 S BROADWAY STE 210
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City | WHITE PLAINS
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State | NY
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Zip | 10605-1820
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Country | US
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Telephone | 914-574-4535
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Fax | 914-574-4535
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Provider Business Mailing Address
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Address Line | 180 S BROADWAY STE 210
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City | WHITE PLAINS
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State | NY
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Zip | 10605-1820
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Country | US
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Telephone | 914-574-4535
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Fax |
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Authorized Official
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Title or Position | OWNER, NURSE PRACTITIONER
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Name | JENNIFER R WALSH
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Credential | APN
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Telephone | 914-574-4535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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