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General NPI Number Information
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NPI Number | 1821336090
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Entity Type | Individual
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Provider Name | IRINA STEPANYAN M.S.
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Gender | Female
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Dates
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Enumeration Date | 01/23/2013
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Last Update Date | 10/14/2021
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Provider Practice Location Address
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Address Line | 2260 BENSON AVE APT 3K
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City | BROOKLYN
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State | NY
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Zip | 11214-5235
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Country | US
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Telephone | 347-421-2724
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Fax |
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Provider Business Mailing Address
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Address Line | 2126 BENSON AVE APT 3A
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City | BROOKLYN
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State | NY
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Zip | 11214-5031
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Country | US
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Telephone | 347-421-2724
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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 | 174400000X
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Taxonomy Name | Specialist
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | NY
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