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General NPI Number Information
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NPI Number | 1154212033
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Entity Type | Individual
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Provider Name | CHRISTINA YACUBICH NP
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Gender | Female
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Dates
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Enumeration Date | 07/10/2025
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 1825 EASTCHESTER RD
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City | BRONX
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State | NY
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Zip | 10461-2301
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Country | US
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Telephone | 718-904-4032
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Fax |
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Provider Business Mailing Address
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Address Line | 56 REGENT CT
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City | STAMFORD
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State | CT
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Zip | 06907-1423
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Country | US
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Telephone |
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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 | 356120
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License Number State | NY
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