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General NPI Number Information
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NPI Number | 1982896312
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Entity Type | Individual
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Provider Name | VANDY FERRER CNM,NP
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Gender | Female
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Dates
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Enumeration Date | 08/09/2007
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Last Update Date | 10/17/2019
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Provider Practice Location Address
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Address Line | 31 MAIN RD STE 7
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City | RIVERHEAD
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State | NY
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Zip | 11901
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Country | US
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Telephone | 631-727-4950
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Fax |
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Provider Business Mailing Address
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Address Line | 31 MAIN RD STE 7
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City | RIVERHEAD
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State | NY
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Zip | 11901-1953
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Country | US
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Telephone | 631-727-4950
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 420856
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 001288
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License Number State | NY
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