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General NPI Number Information
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NPI Number | 1619126588
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Entity Type | Individual
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Provider Name | LYUDMILA EMAG NP
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Gender | Female
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Dates
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Enumeration Date | 09/15/2008
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Last Update Date | 08/15/2018
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Provider Practice Location Address
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Address Line | 2632 E 14TH ST
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City | BROOKLYN
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State | NY
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Zip | 11235
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Country | US
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Telephone | 718-375-2100
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Fax | 800-349-4298
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Provider Business Mailing Address
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Address Line | PO BOX 350822
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City | BROOKLYN
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State | NY
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Zip | 11235-0822
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Country | US
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Telephone | 347-275-1878
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 304980
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License Number State | NY
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