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General NPI Number Information
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NPI Number | 1598593279
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Entity Type | Individual
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Provider Name | ZAKARIA ELWIDDI FNP
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Gender | Male
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Dates
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Enumeration Date | 07/23/2024
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Last Update Date | 10/26/2024
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Provider Practice Location Address
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Address Line | 1 PENN PLZ # 8
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City | NEW YORK
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State | NY
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Zip | 10119-0002
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Country | US
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Telephone | 866-633-2446
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Fax |
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Provider Business Mailing Address
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Address Line | 1 PENN PLZ # 8
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City | NEW YORK
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State | NY
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Zip | 10119-0002
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Country | US
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Telephone | 866-633-2446
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 352585
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License Number State | NY
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