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General NPI Number Information
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NPI Number | 1629819602
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Entity Type | Organization
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Legal Business Name | AVRAKHAM RUBINOV NP ADULT HEALTH PC
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Dates
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Enumeration Date | 06/04/2024
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 6836 108TH ST APT A53
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City | FOREST HILLS
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State | NY
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Zip | 11375-3390
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Country | US
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Telephone | 718-350-6381
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Fax |
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Provider Business Mailing Address
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Address Line | 6836 108TH ST APT A53
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City | FOREST HILLS
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State | NY
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Zip | 11375-3390
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Country | US
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Telephone | 718-350-6381
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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 | AVRAKHAM RUBINOV
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Credential | AGNP
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Telephone | 718-350-6381
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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 |
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License Number State |
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