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General NPI Number Information
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NPI Number | 1891954467
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Entity Type | Organization
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Legal Business Name | NANCY L. CARR,R.N.&N.P. IN PSYCHIATRY, PLLC
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Dates
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Enumeration Date | 06/08/2008
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Last Update Date | 06/08/2008
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Provider Practice Location Address
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Address Line | 2336 RICHMOND RD
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City | STATEN ISLAND
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State | NY
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Zip | 10306-2346
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Country | US
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Telephone | 718-873-6893
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Fax |
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Provider Business Mailing Address
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Address Line | 92 EDISON ST
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City | STATEN ISLAND
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State | NY
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Zip | 10306-3253
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Country | US
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Telephone | 718-873-6893
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MS. NANCY LOUISE CARR
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Credential | RN, NPP
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Telephone | 718-873-6893
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | F400557
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License Number State | NY
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