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General NPI Number Information
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NPI Number | 1508715111
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Entity Type | Individual
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Provider Name | VICTORIA SMURYGIN PMHNP
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Gender | Female
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Dates
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Enumeration Date | 01/26/2026
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 307 OCEAN VIEW AVE
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City | BROOKLYN
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State | NY
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Zip | 11235-6826
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Country | US
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Telephone | 718-743-5555
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Fax |
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Provider Business Mailing Address
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Address Line | 2935 W 5TH ST APT 18E
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City | BROOKLYN
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State | NY
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Zip | 11224-3925
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Country | US
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Telephone |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 408043
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License Number State | NY
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