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General NPI Number Information
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NPI Number | 1912328642
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Entity Type | Individual
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Provider Name | OLGA BELYY PA
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Gender | Female
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Dates
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Enumeration Date | 12/24/2013
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Last Update Date | 12/24/2013
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Provider Practice Location Address
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Address Line | 2601 OCEAN PKWY CONEY ISLAND HOSPITAL, DEPARTMENT OF OB/GYN, 8TH FLOOR
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City | BROOKLYN
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State | NY
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Zip | 11235-7745
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Country | US
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Telephone | 718-616-4033
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Fax | 718-616-4855
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Provider Business Mailing Address
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Address Line | 2402 65TH ST APT E5
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City | BROOKLYN
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State | NY
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Zip | 11204-4160
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Country | US
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Telephone | 646-620-0340
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 017253
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License Number State | NY
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