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General NPI Number Information
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NPI Number | 1932509767
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Entity Type | Individual
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Provider Name | MUFTAU G BELLO NP
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Gender | Male
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Dates
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Enumeration Date | 08/29/2014
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 14 SLOSSON TER
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City | STATEN ISLAND
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State | NY
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Zip | 10301-2507
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Country | US
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Telephone | 718-273-8409
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Fax | 718-273-5265
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Provider Business Mailing Address
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Address Line | 96 GRANDVIEW AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10303-2000
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Country | US
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Telephone | 347-998-2767
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 401767
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License Number State | NY
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