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General NPI Number Information
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NPI Number | 1013334234
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Entity Type | Organization
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Legal Business Name | MIDTOWN MEDICAL SOLUTIONS PC
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Dates
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Enumeration Date | 03/26/2014
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Last Update Date | 07/29/2014
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Provider Practice Location Address
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Address Line | 144 E 44TH ST
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City | NEW YORK
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State | NY
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Zip | 10017-4008
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Country | US
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Telephone | 212-490-3800
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Fax | 212-490-6657
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Provider Business Mailing Address
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Address Line | 144 E 44TH ST
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City | NEW YORK
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State | NY
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Zip | 10017-4008
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Country | US
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Telephone | 212-490-3800
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Fax | 212-490-6657
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | DR. JOHN MICHEAL VENTRUDO
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Credential | MD
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Telephone | 212-490-3800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 242798
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License Number State | NY
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