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General NPI Number Information
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NPI Number | 1053127589
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Entity Type | Organization
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Legal Business Name | FAINA YABLOCHNIKOVA MEDICAL SERVICES PC
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 3380 NOSTRAND AVE APT 1E
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City | BROOKLYN
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State | NY
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Zip | 11229-4032
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Country | US
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Telephone | 347-792-6916
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Fax |
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Provider Business Mailing Address
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Address Line | 1382 E 72ND ST
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City | BROOKLYN
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State | NY
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Zip | 11234-5802
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Country | US
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Telephone | 347-328-2720
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FAINA YABLOCHNIKOVA
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Credential | MD
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Telephone | 917-586-7271
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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