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General NPI Number Information
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NPI Number | 1710850219
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Entity Type | Organization
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Legal Business Name | HICKSVILLE PEDIATRICS PHYSICIAN PC
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 101 JERUSALEM AVE
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City | HICKSVILLE
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State | NY
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Zip | 11801-4951
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Country | US
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Telephone | 516-681-0681
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Fax |
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Provider Business Mailing Address
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Address Line | 36 HILLTOP DR
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City | SYOSSET
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State | NY
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Zip | 11791-2003
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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 | DR. QIKAI YAO
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Credential | MD
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Telephone | 631-882-1688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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