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General NPI Number Information
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NPI Number | 1760148423
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Entity Type | Organization
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Legal Business Name | MULTIPLE SCLEROSIS PRACTICE
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Dates
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Enumeration Date | 11/16/2021
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Last Update Date | 11/16/2021
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Provider Practice Location Address
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Address Line | 30 E 95TH ST APT 1A
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City | NEW YORK
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State | NY
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Zip | 10128-0732
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Country | US
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Telephone | 646-226-2616
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Fax | 212-426-0094
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Provider Business Mailing Address
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Address Line | 30 E 95TH ST APT 1A
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City | NEW YORK
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State | NY
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Zip | 10128-0732
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Country | US
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Telephone | 646-226-2616
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Fax | 212-426-0094
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | DR. ALIZA BITTON BEN-ZACHARIA
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Credential | ANP, PHD
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Telephone | 646-226-2616
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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 |
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License Number State |
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