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General NPI Number Information
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NPI Number | 1255906871
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Entity Type | Individual
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Provider Name | UZIEL BABADZHANOV
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Gender | Male
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Dates
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Enumeration Date | 05/25/2021
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Last Update Date | 11/04/2022
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Provider Practice Location Address
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Address Line | 608 MYRTLE AVE
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City | BROOKLYN
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State | NY
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Zip | 11205-1481
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Country | US
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Telephone | 718-599-0811
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Fax |
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Provider Business Mailing Address
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Address Line | 5912 KISSENA BLVD
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City | FLUSHING
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State | NY
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Zip | 11355-5546
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Country | US
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Telephone | 347-233-1365
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 065770
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License Number State | NY
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