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General NPI Number Information
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NPI Number | 1962064451
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Entity Type | Individual
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Provider Name | JOANA EFFIE MENSAH-MITCHELL NP
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Gender | Female
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Dates
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Enumeration Date | 07/03/2019
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 1381 WHITE PLAINS RD
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City | BRONX
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State | NY
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Zip | 10462-4101
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Country | US
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Telephone | 718-892-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 3329 CORSA AVE APT 2
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City | BRONX
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State | NY
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Zip | 10469-2810
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Country | US
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Telephone | 347-615-9040
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | F344171-1
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License Number State | NY
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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 | F344171-1
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License Number State | NY
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