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General NPI Number Information
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NPI Number | 1013949932
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Entity Type | Individual
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Provider Name | JUNA BOBBY M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 05/24/2019
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Provider Practice Location Address
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Address Line | 134 NORTH CHATSWORTH AVE
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City | LARCHMONT
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State | NY
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Zip | 10538-1651
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Country | US
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Telephone | 212-794-2500
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Fax | 212-879-3846
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Provider Business Mailing Address
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Address Line | 4 BRIAR CLOSE RD
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City | LARCHMONT
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State | NY
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Zip | 10538-1009
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Country | US
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Telephone | 216-255-5700
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Fax | 866-618-2917
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 210146
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License Number State | NY
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