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General NPI Number Information
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NPI Number | 1811311509
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Entity Type | Individual
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Provider Name | YACHA GENFI NP-C
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Gender | Female
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Dates
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Enumeration Date | 02/14/2014
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Last Update Date | 09/14/2022
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Provider Practice Location Address
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Address Line | 710 W 168TH ST
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City | NEW YORK
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State | NY
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Zip | 10032-3726
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Country | US
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Telephone | 212-342-0571
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Fax | 212-342-1246
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Provider Business Mailing Address
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Address Line | 20 DELIKAT LN
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City | SAYREVILLE
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State | NJ
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Zip | 08872-2208
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Country | US
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Telephone | 732-221-9048
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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 | 26NJ00504400
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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 | F307165-01
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License Number State | NY
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