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General NPI Number Information
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NPI Number | 1053234658
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Entity Type | Individual
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Provider Name | NEDA RASHIDIZAND
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Gender | Female
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Dates
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Enumeration Date | 07/31/2026
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Last Update Date | 07/31/2026
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Provider Practice Location Address
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Address Line | 7541 164TH ST
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City | FRESH MEADOWS
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State | NY
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Zip | 11366-1273
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Country | US
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Telephone | 516-543-6648
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Fax |
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Provider Business Mailing Address
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Address Line | 220 PICCADILLY RD
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City | GREAT NECK
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State | NY
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Zip | 11023-1604
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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 |
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1990698261
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License Number State | NY
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