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General NPI Number Information
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NPI Number | 1992243026
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Entity Type | Organization
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Legal Business Name | FAMILY HEALTH NP ON DEMAND, PLLC
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Dates
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Enumeration Date | 02/09/2017
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Last Update Date | 02/09/2017
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Provider Practice Location Address
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Address Line | 226 W 140TH ST 4C
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City | NEW YORK
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State | NY
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Zip | 10030-3401
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Country | US
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Telephone | 212-804-8267
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Fax | 877-368-6541
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Provider Business Mailing Address
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Address Line | 315 MADISON AVE, 3RD FLOOR #3052
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City | NEW YORK
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State | NY
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Zip | 10017
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CARMEN SAUNDERS
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Credential | FNP-BC
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Telephone | 212-804-8267
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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 | 336325
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License Number State | NY
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