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General NPI Number Information
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NPI Number | 1982143343
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Entity Type | Individual
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Provider Name | EMILY FLOODE NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 02/17/2017
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Last Update Date | 07/05/2024
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Provider Practice Location Address
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Address Line | 2015 GRAND CONCOURSE
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City | BRONX
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State | NY
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Zip | 10453-4303
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Country | US
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Telephone | 718-583-7736
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Fax | 718-537-6180
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Provider Business Mailing Address
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Address Line | 2626 HALPERIN AVE
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City | BRONX
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State | NY
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Zip | 10461-2631
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Country | US
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Telephone | 718-618-0401
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Fax | 347-479-1303
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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 | ACOO2218
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | ACOO3962
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 364SF0001X
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Taxonomy Name | Family Health Clinical Nurse Specialist
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License Number | RN58859
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License Number State | DC
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | F405795
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License Number State | NY
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