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General NPI Number Information
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NPI Number | 1275339038
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Entity Type | Individual
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Provider Name | NATALIA RADIONOVNA TEN FNP
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Gender | Female
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Dates
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Enumeration Date | 02/21/2025
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 2148 OCEAN AVE STE 402
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City | BROOKLYN
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State | NY
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Zip | 11229-1487
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Country | US
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Telephone | 718-975-7533
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Fax | 718-975-7530
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Provider Business Mailing Address
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Address Line | 2547 E 12TH ST APT 1A
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City | BROOKLYN
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State | NY
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Zip | 11235-5056
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Country | US
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Telephone |
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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 | F353002
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License Number State | NY
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