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General NPI Number Information
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NPI Number | 1033581046
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Entity Type | Organization
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Legal Business Name | WESTCHESTER MEDICAL WELLNESS
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Dates
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Enumeration Date | 10/29/2015
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Last Update Date | 10/29/2015
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Provider Practice Location Address
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Address Line | 271 MAIN ST
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City | EASTCHESTER
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State | NY
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Zip | 10709
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Country | US
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Telephone | 914-202-2597
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Fax | 914-243-1233
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Provider Business Mailing Address
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Address Line | 271 MAIN ST
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City | EASTCHESTER
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State | NY
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Zip | 10709
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Country | US
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Telephone | 914-202-2597
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Fax | 914-243-1233
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Authorized Official
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Title or Position | OWNER
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Name | LUIZA PETRE
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Credential | MD
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Telephone | 914-202-2597
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QB0002X
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Taxonomy Name | Obesity Medicine (Family Medicine) Physician
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License Number | 230304
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RB0002X
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Taxonomy Name | Obesity Medicine (Internal Medicine) Physician
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License Number | 230304
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License Number State | NY
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