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General NPI Number Information
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NPI Number | 1609260967
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Entity Type | Individual
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Provider Name | HARIKLIA BEZHANI
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Gender | Female
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Dates
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Enumeration Date | 03/25/2015
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Last Update Date | 06/12/2018
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Provider Practice Location Address
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Address Line | 3003 NEW HYDE PARK RD STE 312
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City | NEW HYDE PARK
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State | NY
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Zip | 11042
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Country | US
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Telephone | 516-492-3515
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Fax |
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Provider Business Mailing Address
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Address Line | 3003 NEW HYDE PARK RD STE 312
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City | NEW HYDE PARK
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State | NY
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Zip | 11042-1214
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Country | US
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Telephone | 347-806-7196
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | N006870
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License Number State | NY
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