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General NPI Number Information
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NPI Number | 1861341075
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Entity Type | Organization
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Legal Business Name | WESTHAMPTON NURSE PRACTITIONER IN FAMILY HEALTH PC
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Dates
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Enumeration Date | 01/22/2026
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 10 OLD RIVERHEAD RD UNIT A
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City | WESTHAMPTON BEACH
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State | NY
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Zip | 11978-1460
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Country | US
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Telephone | 631-998-3151
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Fax | 631-898-6062
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Provider Business Mailing Address
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Address Line | 10 OLD RIVERHEAD RD UNIT A
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City | WESTHAMPTON BEACH
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State | NY
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Zip | 11978-1460
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Country | US
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Telephone | 631-998-3151
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Fax | 631-898-6062
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Authorized Official
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Title or Position | OWNER
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Name | DOREEN SMITH
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Credential | FNP
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Telephone | 631-523-7826
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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 |
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License Number State |
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