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General NPI Number Information
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NPI Number | 1568924736
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Entity Type | Individual
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Provider Name | MARYAM BOJARIAN MD
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Gender | Female
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Dates
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Enumeration Date | 04/04/2019
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Last Update Date | 09/10/2024
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Provider Practice Location Address
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Address Line | 19 BRADHURST AVE STE 3060N
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City | HAWTHORNE
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State | NY
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Zip | 10532-2180
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Country | US
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Telephone | 914-372-7887
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Fax |
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Provider Business Mailing Address
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Address Line | 290 E MAIN ST APT 406
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City | ELMSFORD
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State | NY
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Zip | 10523-3432
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Country | US
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Telephone | 210-473-1854
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 331486-01
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License Number State | NY
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