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General NPI Number Information
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NPI Number | 1982022257
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Entity Type | Individual
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Provider Name | WANDA MAYO-ROBINSON FNP, RN-BC
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Gender | Female
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Dates
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Enumeration Date | 04/02/2014
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 362 E 148TH ST FL 6
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City | BRONX
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State | NY
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Zip | 10455-4005
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Country | US
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Telephone | 347-577-8080
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Fax |
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Provider Business Mailing Address
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Address Line | 95 AVON CIRCLE UNIT C
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City | RYE BROOK
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State | NY
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Zip | 10573-2027
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Country | US
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Telephone | 845-553-2449
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 351604
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number | 22 624787
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License Number State | NY
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