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General NPI Number Information
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NPI Number | 1457891079
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Entity Type | Individual
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Provider Name | SHAHNAZ VILANTA SINGH-KANDAH NP
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Gender | Female
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Dates
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Enumeration Date | 03/01/2017
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Last Update Date | 12/19/2023
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Provider Practice Location Address
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Address Line | 161 FORT WASHINGTON AVE
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City | NEW YORK
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State | NY
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Zip | 10032
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Country | US
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Telephone | 646-317-6041
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Fax | 212-305-6891
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Provider Business Mailing Address
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Address Line | 630 W 168TH ST # 4
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City | NEW YORK
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State | NY
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Zip | 10032-3725
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Country | US
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Telephone | 646-317-6041
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Fax | 212-305-6891
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 7194221
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 308701
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License Number State | NY
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