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General NPI Number Information
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NPI Number | 1548008113
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Entity Type | Individual
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Provider Name | MONIKA ABDRAKHMANOVA
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Gender | Female
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Dates
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Enumeration Date | 07/18/2024
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Last Update Date | 08/12/2024
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Provider Practice Location Address
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Address Line | 6800 JERICHO TPKE STE 120W SYOSSET
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City | SYOSSET
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State | NY
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Zip | 11791-4445
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Country | US
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Telephone | 516-393-5966
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Fax | 800-783-5909
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Provider Business Mailing Address
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Address Line | 3 WEST 103RD STREET 3FW
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City | NEW YORK
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State | NY
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Zip | 10025
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Country | US
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Telephone | 814-996-8937
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | NY
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