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General NPI Number Information
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NPI Number | 1679744213
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Entity Type | Individual
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Provider Name | BORIS ABRAMOV ANP-BC
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Gender | Male
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Dates
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Enumeration Date | 03/21/2008
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 138-41 76TH AVE
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City | KEW GARDEN HILLS
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State | NY
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Zip | 11367
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Country | US
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Telephone | 917-208-5578
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Fax |
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Provider Business Mailing Address
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Address Line | 13841 76TH AVE
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City | KEW GARDENS HILLS
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State | NY
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Zip | 11367-2819
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Country | US
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Telephone | 917-208-5578
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Fax | 718-380-0197
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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 | F304470
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License Number State | NY
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