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General NPI Number Information
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NPI Number | 1669135455
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Entity Type | Organization
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Legal Business Name | SHVARTSFNP INC
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Dates
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Enumeration Date | 10/19/2021
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Last Update Date | 10/19/2021
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Provider Practice Location Address
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Address Line | 2277 HOMECREST AVE APT 2C
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City | BROOKLYN
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State | NY
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Zip | 11229-4130
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Country | US
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Telephone | 917-560-4565
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Fax | 226-909-0424
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Provider Business Mailing Address
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Address Line | 2277 HOMECREST AVE APT 2C
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City | BROOKLYN
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State | NY
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Zip | 11229-4130
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MIKHAIL SHVARTS
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Credential | NP
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Telephone | 917-560-4565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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