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General NPI Number Information
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NPI Number | 1821471251
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Entity Type | Organization
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Legal Business Name | FN MEDICAL SERVICES P.C
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Dates
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Enumeration Date | 07/02/2015
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Last Update Date | 07/02/2015
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Provider Practice Location Address
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Address Line | 9732 63RD RD
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City | REGO PARK
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State | NY
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Zip | 11374-1639
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Country | US
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Telephone | 718-275-2224
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Fax | 718-275-9600
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Provider Business Mailing Address
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Address Line | 9732 63RD RD
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City | REGO PARK
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State | NY
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Zip | 11374-1639
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Country | US
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Telephone | 718-275-2224
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Fax | 718-275-9600
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | DR. NAGMO FATAKHOVA
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Credential | M.D
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Telephone | 718-275-2224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 2190091
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License Number State | NY
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