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General NPI Number Information
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NPI Number | 1194442871
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Entity Type | Individual
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Provider Name | SHADNA LABINJO F.N.P
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Gender | Female
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Dates
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Enumeration Date | 10/24/2022
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Last Update Date | 10/24/2022
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Provider Practice Location Address
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Address Line | 220 13TH ST
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City | BROOKLYN
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State | NY
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Zip | 11215-4802
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Country | US
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Telephone | 718-832-5980
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Fax |
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Provider Business Mailing Address
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Address Line | 10 WESTWOOD DR APT 40
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City | WESTBURY
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State | NY
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Zip | 11590-1603
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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 | F349378
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License Number State | NY
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