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General NPI Number Information
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NPI Number | 1215499900
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Entity Type | Individual
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Provider Name | NARISSA PURAN MD
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Gender | Female
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Dates
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Enumeration Date | 04/02/2019
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 4500 PARSONS BLVD
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City | FLUSHING
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State | NY
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Zip | 11355-2205
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Country | US
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Telephone | 718-670-5774
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Fax |
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Provider Business Mailing Address
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Address Line | 15052 87TH RD
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City | JAMAICA
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State | NY
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Zip | 11432-3312
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Country | US
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Telephone | 718-674-4037
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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 | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | 325565
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License Number State | NY
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