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General NPI Number Information
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NPI Number | 1477973550
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Entity Type | Individual
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Provider Name | OSCAR NDIKA JR.
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Gender | Male
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Dates
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Enumeration Date | 04/16/2014
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Last Update Date | 04/16/2014
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Provider Practice Location Address
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Address Line | 43 ARISTA DR
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City | DIX HILLS
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State | NY
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Zip | 11746-4920
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Country | US
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Telephone | 631-683-4393
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Fax |
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Provider Business Mailing Address
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Address Line | 38 SANDALWOOD AVE
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City | VALLEY STREAM
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State | NY
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Zip | 11581-2062
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Country | US
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Telephone | 516-499-2224
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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