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General NPI Number Information
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NPI Number | 1114469962
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Entity Type | Individual
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Provider Name | MILANA CHULPAYEV FNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/10/2016
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Last Update Date | 12/23/2020
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Provider Practice Location Address
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Address Line | 9777 QUEENS BLVD FL 9
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City | REGO PARK
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State | NY
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Zip | 11374-3335
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Country | US
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Telephone | 718-267-2420
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Fax |
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Provider Business Mailing Address
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Address Line | 6565 BOOTH ST APT 408
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City | REGO PARK
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State | NY
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Zip | 11374-4139
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Country | US
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Telephone | 646-220-8935
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F341059
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License Number State | NY
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