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General NPI Number Information
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NPI Number | 1972974475
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Entity Type | Individual
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Provider Name | DOBGIMA ERICK DNP, FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 10/10/2015
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Last Update Date | 04/04/2024
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Provider Practice Location Address
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Address Line | 400 E MAIN ST
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City | MOUNT KISCO
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State | NY
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Zip | 10549-3477
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Country | US
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Telephone | 914-666-1200
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Fax | 914-666-1976
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Provider Business Mailing Address
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Address Line | 405 W 238TH ST
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City | BRONX
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State | NY
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Zip | 10463-2208
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Country | US
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Telephone | 845-605-8045
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Fax | 992-245-9122
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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 | 668798
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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 | 340537
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 402889
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License Number State | NY
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