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General NPI Number Information
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NPI Number | 1285551325
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Entity Type | Individual
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Provider Name | ELMIRA ZHASSUZAKOVA
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Gender | Female
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Dates
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Enumeration Date | 06/30/2026
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Last Update Date | 06/30/2026
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Provider Practice Location Address
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Address Line | 7000 KENNEDY BLVD E APT 36D
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City | GUTTENBERG
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State | NJ
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Zip | 07093-4851
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Country | US
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Telephone | 929-996-1648
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Fax |
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Provider Business Mailing Address
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Address Line | 18757 HATTERAS ST 18 UNIT
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City | TARZANA
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State | CA
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Zip | 91356-1494
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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 | 374J00000X
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Taxonomy Name | Doula
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License Number | ABA-8519L4
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License Number State | CA
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