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General NPI Number Information
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NPI Number | 1417658493
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Entity Type | Individual
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Provider Name | RUHEL CHOUDHURY
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Gender | Male
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Dates
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Enumeration Date | 03/15/2023
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Last Update Date | 03/20/2023
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Provider Practice Location Address
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Address Line | 10609 GUY R BREWER BLVD
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City | JAMAICA
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State | NY
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Zip | 11433-2118
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Country | US
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Telephone | 213-322-3477
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Fax |
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Provider Business Mailing Address
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Address Line | 14814 85TH DR
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City | BRIARWOOD
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State | NY
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Zip | 11435-2811
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Country | US
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Telephone | 213-322-3477
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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 | 225800000X
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Taxonomy Name | Recreation Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 156F00000X
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Taxonomy Name | Technician/Technologist
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License Number |
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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