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General NPI Number Information
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NPI Number | 1144582818
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Entity Type | Individual
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Provider Name | MS. JOANNE ZAPHIRIS
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Gender | Female
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Dates
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Enumeration Date | 06/08/2012
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Last Update Date | 06/08/2012
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Provider Practice Location Address
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Address Line | 547 BERGEN ST APT 2C
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City | BROOKLYN
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State | NY
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Zip | 11217-4010
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Country | US
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Telephone | 718-636-8142
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Fax | 718-626-8142
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Provider Business Mailing Address
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Address Line | 547 BERGEN ST APT 2C
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City | BROOKLYN
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State | NY
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Zip | 11217-4010
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Country | US
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Telephone | 718-636-8142
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Fax | 718-626-8142
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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 | 168401871
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 168402871
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 630866951
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 00922225
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 00093075
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License Number State | NJ
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