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General NPI Number Information
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NPI Number | 1750062501
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Entity Type | Organization
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Legal Business Name | JOHN AKHNOUKH MD PC
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Dates
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Enumeration Date | 07/25/2023
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Last Update Date | 07/25/2023
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Provider Practice Location Address
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Address Line | 1991 MARCUS AVE
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City | NORTH NEW HYDE PARK
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State | NY
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Zip | 11042-2057
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Country | US
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Telephone | 516-229-1443
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Fax |
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Provider Business Mailing Address
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Address Line | 12 CENTER DR
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City | ROSLYN
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State | NY
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Zip | 11576-1402
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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 AND CEO
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Name | JOHN AKHNOUKH
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Credential | MD
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Telephone | 917-930-2668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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