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General NPI Number Information
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NPI Number | 1669162970
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Entity Type | Organization
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Legal Business Name | FARA STRICKER FAMILY HEALTH NURSE PRACTITIONER, P.C.
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Dates
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Enumeration Date | 05/10/2023
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Last Update Date | 05/10/2023
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Provider Practice Location Address
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Address Line | 165 N VILLAGE AVE STE 133
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-3701
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Country | US
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Telephone | 212-803-3339
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Fax | 646-768-8600
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Provider Business Mailing Address
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Address Line | 165 N VILLAGE AVE STE 133
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-3701
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Country | US
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Telephone | 212-803-3339
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Fax | 646-768-8600
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. FARA STRICKER
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Credential | NP
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Telephone | 516-993-0345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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