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General NPI Number Information
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NPI Number | 1407513195
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Entity Type | Individual
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Provider Name | BISMA M SHEIKH
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Gender | Female
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Dates
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Enumeration Date | 11/17/2021
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Last Update Date | 11/17/2021
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Provider Practice Location Address
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Address Line | 2325 BELL BLVD
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City | BAYSIDE
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State | NY
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Zip | 11360-2056
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Country | US
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Telephone | 718-225-6464
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Fax | 718-225-9316
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Provider Business Mailing Address
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Address Line | 56 BIRCHWOOD DR W
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City | VALLEY STREAM
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State | NY
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Zip | 11580-1940
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Country | US
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Telephone | 917-327-3777
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 383295
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License Number State | NY
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