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General NPI Number Information
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NPI Number | 1952123721
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Entity Type | Organization
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Legal Business Name | VIVIAN K. GERARD, RN NURSE PRACTITIONER IN PSYCHIATRY P.C.
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Dates
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Enumeration Date | 10/31/2024
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 101 LANG BLVD STE 1
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City | GRAND ISLAND
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State | NY
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Zip | 14072-1601
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Country | US
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Telephone | 716-830-5787
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Fax |
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Provider Business Mailing Address
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Address Line | 101 LANG BLVD STE 1
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City | GRAND ISLAND
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State | NY
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Zip | 14072-1601
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Country | US
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Telephone | 716-830-5787
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | TRACY A KLAPP
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Credential |
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Telephone | 716-453-0242
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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 |
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License Number State |
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