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General NPI Number Information
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NPI Number | 1225579527
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Entity Type | Individual
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Provider Name | ALEX RAKHMINOV FNP
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Gender | Male
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Dates
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Enumeration Date | 03/20/2017
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Last Update Date | 03/18/2026
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Provider Practice Location Address
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Address Line | 6433 98TH ST APT5D
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City | REGO PARK
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State | NY
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Zip | 11374-3321
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Country | US
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Telephone | 646-919-1871
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Fax |
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Provider Business Mailing Address
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Address Line | 6433 98TH ST APT 5D
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City | REGO PARK
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State | NY
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Zip | 11374-3304
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Country | US
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Telephone | 646-919-1871
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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 | 344761-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 696767
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License Number State | NY
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