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General NPI Number Information
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NPI Number | 1346552387
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Entity Type | Organization
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Legal Business Name | ANARAFENA MEDICAL, PLLC
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Dates
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Enumeration Date | 07/07/2010
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Last Update Date | 12/07/2016
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Provider Practice Location Address
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Address Line | 3819 UNION ST STE. 301
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City | FLUSHING
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State | NY
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Zip | 11354-5587
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Country | US
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Telephone | 917-563-5871
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Fax |
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Provider Business Mailing Address
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Address Line | 21757 KINGSBURY AVE
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City | OAKLAND GARDENS
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State | NY
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Zip | 11364-3534
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Country | US
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Telephone | 917-406-4966
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. AZRIEL BENAROYA
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Credential | MD
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Telephone | 917-406-4966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 185149
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License Number State | NY
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