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General NPI Number Information
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NPI Number | 1982892725
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Entity Type | Individual
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Provider Name | KARINA CHU-BOYLE PHYSICIAN ASSISTANT
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Gender | Female
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Dates
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Enumeration Date | 10/05/2007
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Last Update Date | 04/03/2021
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Provider Practice Location Address
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Address Line | 3710 76TH ST APT. 4B
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-6531
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Country | US
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Telephone | 718-446-5782
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Fax |
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Provider Business Mailing Address
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Address Line | 42 OREGON RD
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City | ARMONK
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State | NY
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Zip | 10504-1515
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Country | US
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Telephone | 718-570-7375
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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 | 012019
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License Number State | NY
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