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General NPI Number Information
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NPI Number | 1639919723
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Entity Type | Organization
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Legal Business Name | NK FAMILY HEALTH NP PC
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Dates
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Enumeration Date | 05/28/2024
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 796 CASTLETON AVENUE
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City | STATEN ISLAND
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State | NY
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Zip | 10310-1800
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Country | US
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Telephone | 347-424-2806
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Fax |
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Provider Business Mailing Address
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Address Line | 796 CASTLETON AVENUE
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City | STATEN ISLAND
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State | NY
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Zip | 10310-1800
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Country | US
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Telephone | 347-424-2806
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NATALLIA KLESHCHANKA
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Credential | NP
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Telephone | 347-424-2806
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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 |
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License Number State |
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