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General NPI Number Information
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NPI Number | 1538102389
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Entity Type | Individual
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Provider Name | JAYALAKSHMI HARID M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 06/30/2023
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Provider Practice Location Address
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Address Line | 1 BROOKDALE PLAZA
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City | BROOKLYN
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State | NY
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Zip | 11212
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Country | US
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Telephone | 718-240-5356
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Fax | 718-240-5367
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Provider Business Mailing Address
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Address Line | 1 BROOKDALE PLAZA ,
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City | BROOKLYN
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State | NY
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Zip | 11212-0096
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Country | US
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Telephone | 718-240-5356
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Fax | 718-240-5367
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 227190
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 227190
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License Number State | NY
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