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General NPI Number Information
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NPI Number | 1861578841
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Entity Type | Individual
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Provider Name | LYUDMILA NARYMSKY M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 08/15/2012
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Provider Practice Location Address
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Address Line | 22-18 BROADWAY SUITE 104
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City | FAIR LAWN
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State | NJ
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Zip | 07410-1552
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Country | US
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Telephone | 201-797-4503
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Fax | 201-797-4270
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Provider Business Mailing Address
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Address Line | 22-18 BROADWAY STE 104
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City | FAIR LAWN
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State | NJ
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Zip | 07410-3016
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Country | US
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Telephone | 201-797-4503
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Fax | 201-797-4270
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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 | 25MA04188100
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License Number State | NJ
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