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General NPI Number Information
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NPI Number | 1265370563
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Entity Type | Organization
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Legal Business Name | FAMILY HEALTH NP WELLNESS PLLC
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Dates
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Enumeration Date | 03/25/2026
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 11406 QUEENS BLVD SIDE DOOR
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City | FOREST HILLS
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State | NY
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Zip | 11375-7001
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Country | US
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Telephone | 347-571-3212
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Fax |
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Provider Business Mailing Address
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Address Line | 6714 108TH ST APT 6G APT 6G
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City | FOREST HILLS
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State | NY
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Zip | 11375-2190
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Country | US
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Telephone | 347-571-3212
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ESTER MIRZOKANDOVA
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Credential | NP
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Telephone | 347-571-3212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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