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General NPI Number Information
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NPI Number | 1336744481
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Entity Type | Individual
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Provider Name | NICOLE SOHAYEGH RD
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Gender | Female
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Dates
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Enumeration Date | 12/04/2020
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Last Update Date | 03/17/2026
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Provider Practice Location Address
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Address Line | 11 APPLEGREEN DR
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City | OLD WESTBURY
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State | NY
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Zip | 11568-1202
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Country | US
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Telephone | 516-732-1099
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Fax |
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Provider Business Mailing Address
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Address Line | 105 E 24TH ST APT 6A
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City | NEW YORK
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State | NY
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Zip | 10010-2909
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 009734
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License Number State | NY
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