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General NPI Number Information
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NPI Number | 1932998770
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Entity Type | Individual
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Provider Name | NICOLE MICHELLE DOBRYKINA
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Gender | Female
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 1250 HYLAN BLVD STE 9B1
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City | STATEN ISLAND
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State | NY
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Zip | 10305-1945
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Country | US
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Telephone | 646-262-1302
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Fax | 929-226-6026
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Provider Business Mailing Address
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Address Line | 15 STRAWBERRY LN
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City | STATEN ISLAND
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State | NY
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Zip | 10312-6410
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Country | US
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Telephone | 347-282-9096
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 3302955
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License Number State | NY
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