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General NPI Number Information
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NPI Number | 1912771494
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Entity Type | Individual
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Provider Name | ISATOU YAINENEH DUKURAY MSN,APRN,FNP
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Gender | Female
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Dates
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Enumeration Date | 11/14/2023
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Last Update Date | 11/14/2023
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Provider Practice Location Address
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Address Line | 2125 SAINT RAYMOND AVE APT 7A
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City | BRONX
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State | NY
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Zip | 10462-7123
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Country | US
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Telephone | 646-420-9624
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Fax |
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Provider Business Mailing Address
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Address Line | 2125 SAINT RAYMOND AVE APT 7A
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City | BRONX
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State | NY
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Zip | 10462-7123
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Country | US
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Telephone | 646-420-9624
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 746573-01
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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 | F352192-01
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License Number State | NY
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