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General NPI Number Information
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NPI Number | 1245814482
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Entity Type | Individual
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Provider Name | ALEXANDRA ZIARKO
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Gender | Female
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Dates
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Enumeration Date | 05/12/2021
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 380 UNION AVE
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City | BROOKLYN
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State | NY
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Zip | 11211-3429
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Country | US
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Telephone | 347-986-2032
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Fax |
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Provider Business Mailing Address
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Address Line | 205 E 85TH ST APT 5L
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City | NEW YORK
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State | NY
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Zip | 10028-3222
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Country | US
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Telephone | 201-421-8536
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 064555
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License Number State | NY
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