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General NPI Number Information
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NPI Number | 1891101960
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Entity Type | Individual
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Provider Name | SARAH HELEN WOLK RN, PMHNP
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Gender | Female
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Dates
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Enumeration Date | 07/09/2014
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Last Update Date | 08/31/2015
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Provider Practice Location Address
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Address Line | 750 CROSS RIVER ROAD
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City | CROSS RIVER
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State | NY
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Zip | 10518-1145
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Country | US
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Telephone | 845-323-6040
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Fax | 845-359-3480
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Provider Business Mailing Address
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Address Line | PO BOX 65
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City | PALISADES
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State | NY
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Zip | 10964-0065
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Country | US
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Telephone | 845-323-6040
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Fax | 845-359-3480
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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 | 673584
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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 | 401920
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License Number State | NY
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