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General NPI Number Information
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NPI Number | 1790003374
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Entity Type | Organization
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Legal Business Name | SAVI MUSHIYEV MD PC
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Dates
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Enumeration Date | 05/06/2010
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Last Update Date | 06/24/2024
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Provider Practice Location Address
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Address Line | 10423 111TH ST
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City | SOUTH RICHMOND HILL
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State | NY
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Zip | 11419-2415
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Country | US
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Telephone | 718-323-6588
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Fax | 631-724-4119
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Provider Business Mailing Address
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Address Line | 10250 62ND RD APT 3G
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City | FOREST HILLS
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State | NY
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Zip | 11375-1056
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Country | US
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Telephone | 718-275-2224
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Fax | 631-366-0391
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Authorized Official
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Title or Position | BILLING REP
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Name | MS. MAUREEN MURRAY
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Credential |
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Telephone | 631-366-0390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 240021
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License Number State | NY
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