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General NPI Number Information
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NPI Number | 1982658753
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Entity Type | Individual
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Provider Name | MICHELE L REILLY NP
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Gender | Female
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 90 S BEDFORD RD
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City | MOUNT KISCO
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State | NY
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Zip | 10549-3412
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Country | US
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Telephone | 191-424-2137
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Fax |
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Provider Business Mailing Address
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Address Line | 90 S BEDFORD RD
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City | MOUNT KISCO
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State | NY
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Zip | 10549-3412
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Country | US
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Telephone | 191-424-2137
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | R240245
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F303769-1
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License Number State | NY
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