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General NPI Number Information
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NPI Number | 1831954791
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Entity Type | Individual
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Provider Name | IOSIF KAYDANOV FNP
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Gender | Male
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Dates
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Enumeration Date | 02/19/2024
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 11 RALPH PL STE 112
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City | STATEN ISLAND
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State | NY
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Zip | 10304-4408
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Country | US
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Telephone | 718-954-2202
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Fax |
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Provider Business Mailing Address
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Address Line | 2650 OCEAN PKWY APT 11B
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City | BROOKLYN
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State | NY
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Zip | 11235-7758
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Country | US
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Telephone | 347-466-1234
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F353580
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License Number State | NY
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