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General NPI Number Information
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NPI Number | 1083405278
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Entity Type | Organization
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Legal Business Name | SHAYNA DAHAN NURSE PRACTITIONER IN PEDIATRICS PLLC
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Dates
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Enumeration Date | 05/15/2025
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 2830 OGDEN DR
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City | YORKTOWN HEIGHTS
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State | NY
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Zip | 10598-2737
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Country | US
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Telephone | 914-772-0855
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Fax |
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Provider Business Mailing Address
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Address Line | 72 WESTCHESTER AVE
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City | THORNWOOD
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State | NY
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Zip | 10594-1118
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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 | OWNER/ PROVIDER
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Name | SHAYNA DAHAN
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Credential |
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Telephone | 914-772-0855
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number |
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License Number State |
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