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General NPI Number Information
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NPI Number | 1528626025
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Entity Type | Individual
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Provider Name | SASHA THOMAS
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Gender | Female
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Dates
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Enumeration Date | 05/31/2019
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 345 DUMONT AVE APT 5B
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City | BROOKLYN
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State | NY
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Zip | 11212-6145
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Country | US
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Telephone | 646-620-4246
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Fax |
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Provider Business Mailing Address
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Address Line | 556 SARATOGA AVE
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City | BROOKLYN
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State | NY
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Zip | 11212-4519
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Country | US
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Telephone | 646-620-4246
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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 | F355636
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 768079
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License Number State | NY
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