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General NPI Number Information
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NPI Number | 1376276063
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Entity Type | Organization
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Legal Business Name | SHATS NP IN FAMILY HEALTH PC
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Dates
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Enumeration Date | 07/08/2022
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 1115 E 32ND ST
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City | BROOKLYN
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State | NY
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Zip | 11210-4734
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Country | US
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Telephone | 718-218-3798
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Fax | 903-213-9191
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Provider Business Mailing Address
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Address Line | 1115 E 32ND ST
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City | BROOKLYN
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State | NY
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Zip | 11210-4734
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Country | US
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Telephone | 718-218-3674
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YELENA SHATS
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Credential |
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Telephone | 917-470-1334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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