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General NPI Number Information
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NPI Number | 1952321242
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Entity Type | Individual
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Provider Name | SUSHMA NAKRA MD
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Gender | Female
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2601 OCEAN PKWY
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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 | 718-616-4408
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Fax | 718-616-4105
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Provider Business Mailing Address
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Address Line | 8525 CHELSEA ST
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City | JAMAICA
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State | NY
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Zip | 11432-2418
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Country | US
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Telephone | 718-592-7720
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 128693
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License Number State | NY
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