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General NPI Number Information
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NPI Number | 1093389397
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Entity Type | Individual
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Provider Name | ZOYA SEAFORTH
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Gender | Female
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Dates
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Enumeration Date | 05/20/2021
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Last Update Date | 09/22/2021
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Provider Practice Location Address
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Address Line | 71 MONARCH CIR
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City | BASKING RIDGE
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State | NJ
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Zip | 07920-3146
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Country | US
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Telephone | 646-342-6272
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Fax |
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Provider Business Mailing Address
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Address Line | 228 E 45TH ST # GF32
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City | NEW YORK
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State | NY
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Zip | 10017-3303
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Country | US
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Telephone | 646-342-6272
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 34120601
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License Number State | NY
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