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General NPI Number Information
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NPI Number | 1972332716
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Entity Type | Organization
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Legal Business Name | SAFIA BOTI NP IN FAMILY HEALTH PRACTICE PC
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Dates
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Enumeration Date | 07/30/2024
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Last Update Date | 07/30/2024
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Provider Practice Location Address
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Address Line | 380 NEPTUNE AVE
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City | BROOKLYN
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State | NY
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Zip | 11235-8094
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Country | US
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Telephone | 718-989-9711
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Fax | 347-548-9904
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Provider Business Mailing Address
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Address Line | 380 NEPTUNE AVE
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City | BROOKLYN
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State | NY
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Zip | 11235-8094
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Country | US
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Telephone | 718-989-9711
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Fax | 347-548-9904
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Authorized Official
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Title or Position | PRESIDENT
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Name | SAFIA BOTI
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Credential | NP
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Telephone | 347-865-9490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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