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General NPI Number Information
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NPI Number | 1407678477
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Entity Type | Organization
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Legal Business Name | A FRIENDLY FACE AKADEMY CORP
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Dates
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Enumeration Date | 10/30/2024
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 1887 RICHMOND AVE STE 5
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City | STATEN ISLAND
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State | NY
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Zip | 10314-3923
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Country | US
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Telephone | 718-880-7000
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Fax | 877-673-1774
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Provider Business Mailing Address
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Address Line | 1887 RICHMOND AVE STE 5
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City | STATEN ISLAND
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State | NY
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Zip | 10314-3923
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Country | US
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Telephone | 718-880-7000
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Fax | 877-673-1774
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | OKSANA KOBRYN
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Credential |
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Telephone | 718-973-0857
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number |
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License Number State |
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