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General NPI Number Information
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NPI Number | 1922540681
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Entity Type | Individual
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Provider Name | RODELYN REYES CONCEPCION FNP
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Gender | Female
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Dates
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Enumeration Date | 11/12/2016
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 1 BRIDGE ST STE 1
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City | IRVINGTON
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State | NY
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Zip | 10533-1550
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Country | US
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Telephone | 917-560-2901
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Fax |
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Provider Business Mailing Address
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Address Line | 22 STRAWBERRY HILL RD N
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City | WEST NYACK
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State | NY
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Zip | 10994-1616
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Country | US
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Telephone | 917-560-2901
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ00699400
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License Number State | NJ
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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 | 341094
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License Number State | NY
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