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General NPI Number Information
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NPI Number | 1508669938
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Entity Type | Individual
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Provider Name | DINARA SERDYUK
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Gender | Female
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 88 W 10TH ST # 1
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City | BAYONNE
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State | NJ
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Zip | 07002-1303
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Country | US
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Telephone | 551-286-5316
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Fax |
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Provider Business Mailing Address
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Address Line | 88 W 10TH ST # 1
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City | BAYONNE
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State | NJ
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Zip | 07002-1303
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Country | US
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Telephone | 551-286-5316
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F356257-01
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License Number State | NY
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