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General NPI Number Information
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NPI Number | 1134694938
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Entity Type | Organization
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Legal Business Name | ARISTA HEALTHCARE INC
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Dates
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Enumeration Date | 10/08/2018
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Last Update Date | 10/08/2018
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Provider Practice Location Address
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Address Line | 46 AUSTIN STREET #301
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City | NEWTON
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State | MA
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Zip | 02460-1861
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Country | US
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Telephone | 617-733-6873
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Fax |
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Provider Business Mailing Address
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Address Line | 45 AUSTIN STREET #301
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City | NEWTON
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State | MA
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Zip | 02460-1861
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Country | US
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Telephone | 617-733-6873
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. SUKHYUNE HONG
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Credential | DNP, FNP-BC
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Telephone | 617-733-6873
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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