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General NPI Number Information
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NPI Number | 1215615208
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Entity Type | Individual
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Provider Name | KARTHIKA ELIZABETH MATHEWS FNP
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Gender | Female
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Dates
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Enumeration Date | 07/10/2023
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Last Update Date | 07/10/2023
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Provider Practice Location Address
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Address Line | JAIN CARDIOVASCULAR, 3201 GRAND CONCOURSE 1L
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City | BRONX
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State | NY
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Zip | 10468
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Country | US
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Telephone | 917-942-8825
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Fax |
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Provider Business Mailing Address
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Address Line | 104 SHOREVIEW DR APT 4
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City | YONKERS
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State | NY
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Zip | 10710-1345
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Country | US
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Telephone | 925-325-4778
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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 | 351615
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License Number State | NY
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