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General NPI Number Information
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NPI Number | 1932721859
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Entity Type | Organization
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Legal Business Name | P WILLIAM PSYCHIATRIC NURSE PRACTITIONER SERVICES PLLC
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Dates
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Enumeration Date | 05/13/2020
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 1 BLUE HILL PLZ LBBY LEVEL
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City | PEARL RIVER
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State | NY
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Zip | 10965-3111
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Country | US
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Telephone | 888-516-0397
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Fax |
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Provider Business Mailing Address
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Address Line | 1853 PEARLAND PKWY STE 123
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City | PEARLAND
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State | TX
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Zip | 77581-8864
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Country | US
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Telephone | 888-516-0397
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. PHEBEE WILLIAM
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Credential | NP
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Telephone | 661-974-2456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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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 |
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License Number State |
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