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General NPI Number Information
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NPI Number | 1609577618
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Entity Type | Individual
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Provider Name | KINA YAMNAR CHAN NP
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Gender | Female
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Dates
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Enumeration Date | 03/15/2023
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 5718 2ND AVE
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City | BROOKLYN
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State | NY
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Zip | 11220-3313
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Country | US
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Telephone | 646-754-8531
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Fax | 646-754-8501
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Provider Business Mailing Address
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Address Line | 41 E SCRANTON AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10308-1326
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Country | US
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Telephone | 917-742-2822
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | F310873-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F310873-01
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License Number State | NY
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