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General NPI Number Information
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NPI Number | 1891610929
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Entity Type | Organization
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Legal Business Name | PENPIXEL LLC
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Dates
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Enumeration Date | 08/10/2026
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Last Update Date | 08/10/2026
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Provider Practice Location Address
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Address Line | 2411 E 4TH ST
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City | BROOKLYN
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State | NY
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Zip | 11223-5427
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Country | US
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Telephone | 718-629-8940
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Fax |
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Provider Business Mailing Address
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Address Line | 2411 E 4TH ST
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City | BROOKLYN
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State | NY
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Zip | 11223-5427
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DALER RAKHMONOV
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Credential |
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Telephone | 718-629-8940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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