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General NPI Number Information
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NPI Number | 1083871412
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Entity Type | Individual
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Provider Name | DANNY DAVID AZERRAD FNP
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Gender | Male
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Dates
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Enumeration Date | 05/22/2008
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 1 STEVEN DR
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City | HEWLETT
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State | NY
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Zip | 11557-1008
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Country | US
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Telephone | 917-533-3893
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Fax | 915-975-8171
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Provider Business Mailing Address
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Address Line | 1 STEVEN DR
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City | HEWLETT
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State | NY
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Zip | 11557-1008
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Country | US
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Telephone | 917-533-3893
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Fax | 915-975-8171
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 10000713
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 1744R1102X
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Taxonomy Name | Research Study Specialist
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License Number | CERT05836
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 355744
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License Number State | NY
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