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General NPI Number Information
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NPI Number | 1912025321
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Entity Type | Individual
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Provider Name | JYOTI NARANG PHYSICIAN ASSISTANT
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Gender | Female
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 462 1ST AVE NBV 15SOUTH5
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City | NEW YORK
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State | NY
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Zip | 10016-9196
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Country | US
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Telephone | 212-562-3917
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Fax |
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Provider Business Mailing Address
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Address Line | 14020 HOLLY AVE
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City | FLUSHING
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State | NY
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Zip | 11355-3447
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Country | US
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Telephone | 718-445-0265
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 010862
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License Number State | NY
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