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General NPI Number Information
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NPI Number | 1841224094
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Entity Type | Individual
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Provider Name | SVETOSLAVA VENELINOVA BARDAROVA PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 06/02/2024
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Provider Practice Location Address
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Address Line | 17 E 102 STREET , 5TH FLOOR FEINSTEIN IBD CENTER
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City | NEW YORK
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State | NY
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Zip | 10029
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Country | US
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Telephone | 212-241-8100
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Fax | 646-537-8921
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Provider Business Mailing Address
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Address Line | FEINSTEIN IBD CENTER- 17 E 102 ND STREET FLOOR 5
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City | NEW YORK
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State | NY
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Zip | 10029
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Country | US
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Telephone | 212-241-8100
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Fax | 646-537-8921
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 012946
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License Number State | NY
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