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NPI 1861574311

NPI 1861574311 : NORMA O'BRIEN FNP : MONTICELLO, NY

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General NPI Number Information
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    NPI Number           |    1861574311
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    Entity Type          |    Individual 
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    Provider Name        |    NORMA O'BRIEN FNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/20/2006
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    Last Update Date     |    03/07/2023
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Provider Practice Location Address
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    Address Line         |    23 LAKEWOOD AVE HUDSON RIVER HEALTHCARE, INC.
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    City                 |    MONTICELLO
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    State                |    NY
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    Zip                  |    12701-2021
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    Country              |    US
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    Telephone            |    845-794-2010
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    Fax                  |    845-794-4569
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Provider Business Mailing Address
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    Address Line         |    1037 MAIN ST HUDSON RIVER HEALTHCARE, INC.
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    City                 |    PEEKSKILL
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    State                |    NY
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    Zip                  |    10566-2913
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    Country              |    US
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    Telephone            |    914-734-8800
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    Fax                  |    914-734-8786
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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        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    446102-1
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    332895
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    License Number State |    NY
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