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General NPI Number Information
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NPI Number | 1578865432
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Entity Type | Individual
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Provider Name | LILIYA SHIL PA-C
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Gender | Female
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Dates
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Enumeration Date | 11/29/2010
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Last Update Date | 08/20/2018
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Provider Practice Location Address
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Address Line | 2925 W 5TH ST APT 11B
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City | BROOKLYN
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State | NY
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Zip | 11224
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Country | US
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Telephone | 917-538-3330
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Fax | 718-677-6693
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Provider Business Mailing Address
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Address Line | 2915 AVENUE S
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City | BROOKLYN
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State | NY
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Zip | 11229-2544
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Country | US
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Telephone | 718-998-9669
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Fax | 718-339-5614
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 23-014057
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License Number State | NY
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