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General NPI Number Information
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NPI Number | 1952129637
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Entity Type | Individual
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Provider Name | JOANNA LYNN BROCK-SCHULZ BSN, RN
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Gender | Female
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Dates
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Enumeration Date | 10/01/2024
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 2834 ROUTE 17M
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City | NEW HAMPTON
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State | NY
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Zip | 10958-5011
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Country | US
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Telephone | 845-374-8700
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 213
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City | BLOOMINGBURG
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State | NY
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Zip | 12721-0213
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Country | US
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Telephone | 845-741-9965
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 609896
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License Number State | NY
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