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General NPI Number Information
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NPI Number | 1568409308
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Entity Type | Individual
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Provider Name | POURUCHISHTI F HIRJIBEHEDIN MD
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Gender | Female
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 03/10/2022
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Provider Practice Location Address
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Address Line | 70 CHARLES LINDBERGH BLVD STE. 100
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City | UNIONDALE
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State | NY
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Zip | 11553-3634
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Country | US
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Telephone | 516-483-2020
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Fax | 516-560-1855
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Provider Business Mailing Address
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Address Line | 55 WATER ST 2ND FLOOR CRED DEPT
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City | NEW YORK
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State | NY
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Zip | 10041-0004
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Country | US
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Telephone | 646-680-2888
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Fax | 516-542-5556
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 143951
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License Number State | NY
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