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General NPI Number Information
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NPI Number | 1558965020
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Entity Type | Individual
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Provider Name | SHANA-KAY NIOKA THOMAS NP
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Gender | Female
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Dates
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Enumeration Date | 11/25/2020
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 2269 UTICA AVE
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City | BROOKLYN
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State | NY
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Zip | 11234-3829
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Country | US
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Telephone | 347-977-8649
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Fax |
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Provider Business Mailing Address
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Address Line | 451 CLARKSON AVE
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City | BROOKLYN
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State | NY
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Zip | 11203-2054
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Country | US
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Telephone | 347-977-8649
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 421458
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License Number State | NY
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