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General NPI Number Information
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NPI Number | 1649986068
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Entity Type | Individual
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Provider Name | INESSA INOYATOVA
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Gender | Female
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Dates
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Enumeration Date | 01/30/2023
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Last Update Date | 12/22/2024
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Provider Practice Location Address
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Address Line | 6451 CENTRAL AVE
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City | GLENDALE
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State | NY
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Zip | 11385-6258
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Country | US
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Telephone | 718-456-0960
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Fax |
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Provider Business Mailing Address
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Address Line | 6309 BOOTH ST
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City | REGO PARK
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State | NY
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Zip | 11374-2029
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Country | US
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Telephone | 718-902-9225
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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 | 310496
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License Number State | NY
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