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General NPI Number Information
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NPI Number | 1649741869
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Entity Type | Organization
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Legal Business Name | ND MEDICAL PC
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Dates
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Enumeration Date | 12/16/2018
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Last Update Date | 12/16/2018
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Provider Practice Location Address
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Address Line | 4119 18TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11218-5709
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Country | US
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Telephone | 718-245-6042
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Fax | 718-880-9219
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Provider Business Mailing Address
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Address Line | 2402 63RD ST APT E3
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City | BROOKLYN
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State | NY
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Zip | 11204-3441
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Country | US
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Telephone | 646-288-9144
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Fax | 718-645-1148
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Authorized Official
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Title or Position | PROVIDER / OWNER
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Name | DR. NADIRE DZHALTUROVA
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Credential | DO
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Telephone | 646-288-9144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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