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General NPI Number Information
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NPI Number | 1780308353
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Entity Type | Individual
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Provider Name | ATIKSHA JHAVERI APN
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Gender | Female
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Dates
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Enumeration Date | 09/28/2022
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Last Update Date | 09/29/2022
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Provider Practice Location Address
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Address Line | 2701 QUEENS PLZ N FL 10
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-4022
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Country | US
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Telephone | 551-580-3268
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Fax |
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Provider Business Mailing Address
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Address Line | 10 OAK DR
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-3337
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Country | US
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Telephone | 551-580-3268
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Fax |
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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 | 26NJ01160700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F310739-01
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License Number State | NY
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