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General NPI Number Information
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NPI Number | 1285031351
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Entity Type | Individual
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Provider Name | ANYA MADDOW-ZIMET RN, NP
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Gender | Female
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Dates
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Enumeration Date | 12/04/2014
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 3433 JUNCTION BLVD
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-3828
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Country | US
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Telephone | 347-396-6299
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Fax |
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Provider Business Mailing Address
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Address Line | 4209 28TH ST # CN-48
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-4130
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Country | US
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Telephone | 347-796-6299
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Fax | 347-396-6367
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | F421181-1
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License Number State | NY
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