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General NPI Number Information
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NPI Number | 1346593092
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Entity Type | Individual
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Provider Name | NADEZHDA TAMAYEFF PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/18/2012
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Last Update Date | 01/05/2021
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Provider Practice Location Address
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Address Line | 1910 HEMPSTEAD TPKE
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City | EAST MEADOW
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State | NY
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Zip | 11554-1712
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Country | US
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Telephone | 516-794-0616
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Fax |
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Provider Business Mailing Address
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Address Line | 6244 99TH ST
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City | REGO PARK
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State | NY
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Zip | 11374-1440
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Country | US
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Telephone | 718-404-8153
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 057112
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License Number State | NY
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