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General NPI Number Information
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NPI Number | 1619415205
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Entity Type | Organization
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Legal Business Name | ALLIED PHYSICIANS GROUP
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Dates
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Enumeration Date | 02/03/2017
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Last Update Date | 02/03/2017
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Provider Practice Location Address
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Address Line | 1720 FRANCIS LEWIS BLVD
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City | WHITESTONE
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State | NY
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Zip | 11357-3247
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Country | US
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Telephone | 718-939-4379
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Fax |
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Provider Business Mailing Address
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Address Line | 19916 33RD AVE
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City | FLUSHING
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State | NY
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Zip | 11358-1906
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Country | US
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Telephone | 516-807-1058
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MRS. KELLY ALYSON SAIKUM
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Credential | NP
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Telephone | 516-807-1058
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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 | 341351
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License Number State | NY
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