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General NPI Number Information
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NPI Number | 1174771810
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Entity Type | Individual
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Provider Name | MARIYA ARONOVA RPA-C
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Gender | Female
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Dates
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Enumeration Date | 09/06/2008
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Last Update Date | 01/19/2016
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Provider Practice Location Address
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Address Line | 585 SCHENECTADY AVE
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City | BROOKLYN
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State | NY
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Zip | 11203-1809
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Country | US
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Telephone | 718-604-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 7901 BROADWAY APT 207
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City | ELMHURST
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State | NY
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Zip | 11373-1329
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Country | US
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Telephone | 718-334-2555
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 012698
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License Number State | NY
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