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General NPI Number Information
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NPI Number | 1215844261
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Entity Type | Organization
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Legal Business Name | MARK KHAIMOV FAMILY HEALTH NP PC
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 2150 E 70TH ST APT 2
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City | BROOKLYN
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State | NY
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Zip | 11234-6155
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Country | US
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Telephone | 718-844-8278
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Fax |
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Provider Business Mailing Address
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Address Line | 2150 E 70TH ST APT 2
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City | BROOKLYN
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State | NY
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Zip | 11234-6155
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Country | US
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Telephone | 718-844-8278
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Fax |
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | MARK KHAIMOV
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Credential | FNP-C
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Telephone | 718-844-8278
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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 |
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License Number State |
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