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General NPI Number Information
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NPI Number | 1083577167
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Entity Type | Individual
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Provider Name | MISS RUKHSHONA Y TUYDIEVA
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Gender | Female
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 7767 OSWEGO RD
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City | LIVERPOOL
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State | NY
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Zip | 13090-2322
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Country | US
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Telephone | 315-992-1929
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Fax |
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Provider Business Mailing Address
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Address Line | 7987 SPRUCE HILL DR
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City | CLAY
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State | NY
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Zip | 13041-8620
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Country | US
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Telephone | 315-396-2768
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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 | 1-25-84345
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License Number State | NY
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