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NPI 1063125045

NPI 1063125045 : COMPREHENSIVE FAMILY HEALTH NP CONSULTANT PC : BROOKLYN, NY

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General NPI Number Information
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    NPI Number           |    1063125045
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    Entity Type          |    Organization 
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    Legal Business Name  |    COMPREHENSIVE FAMILY HEALTH NP CONSULTANT PC 
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Dates
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    Enumeration Date     |    01/04/2023
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    Last Update Date     |    01/08/2026
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Provider Practice Location Address
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    Address Line         |    549 61ST ST 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11220-4605
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    Country              |    US
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    Telephone            |    347-338-8012
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    Fax                  |    878-888-2228
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Provider Business Mailing Address
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    Address Line         |    860 58TH ST APT 1F 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11220-3288
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    Country              |    US
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    Telephone            |    347-338-8012
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    Fax                  |    878-888-2228
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     SHUAI  CHEN 
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    Credential           |    NP
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    Telephone            |    347-338-8012
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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       |    
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    License Number State |    
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