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General NPI Number Information
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NPI Number | 1023310232
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Entity Type | Organization
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Legal Business Name | SAUL G AGUS, MD, PC
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Dates
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Enumeration Date | 11/19/2010
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Last Update Date | 11/22/2010
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Provider Practice Location Address
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Address Line | 1080 5TH AVE SUITE 1C
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City | NEW YORK
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State | NY
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Zip | 10128-0102
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Country | US
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Telephone | 212-860-0841
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Fax | 212-722-8344
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Provider Business Mailing Address
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Address Line | 1080 5TH AVE SUITE 1C
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City | NEW YORK
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State | NY
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Zip | 10128-0102
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Country | US
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Telephone | 212-860-0841
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Fax | 212-722-8344
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SAUL G AGUS
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Credential | M.D.
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Telephone | 212-860-0841
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 112278
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License Number State | NY
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