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General NPI Number Information
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NPI Number | 1871822080
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Entity Type | Individual
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Provider Name | JENNIFER D FURST PMHNP, RN, LMT
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Gender | Female
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Dates
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Enumeration Date | 12/17/2009
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Last Update Date | 01/02/2020
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Provider Practice Location Address
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Address Line | 135 W 50TH ST FL 6
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City | NEW YORK
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State | NY
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Zip | 10020-1201
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Country | US
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Telephone | 917-647-6326
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Fax |
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Provider Business Mailing Address
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Address Line | 135 W 50TH ST FL 6
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City | NEW YORK
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State | NY
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Zip | 10020-1201
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 739880
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License Number State | NY
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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 | 402748
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License Number State | NY
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