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General NPI Number Information
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NPI Number | 1881786184
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Entity Type | Individual
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Provider Name | BORIS Z SHEINKERMAN MD
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Gender | Male
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 03/28/2021
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Provider Practice Location Address
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Address Line | 8340 WOODHAVEN BLVD
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City | GLENDALE
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State | NY
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Zip | 11385-7824
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Country | US
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Telephone | 718-441-4444
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Fax | 718-849-7854
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Provider Business Mailing Address
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Address Line | 831 MAIN AVE
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City | PASSAIC
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State | NJ
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Zip | 07055-8400
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Country | US
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Telephone | 862-249-1333
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Fax | 844-892-1555
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 173254
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License Number State | NY
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