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General NPI Number Information
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NPI Number | 1033704283
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Entity Type | Organization
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Legal Business Name | INDEPENDENT MEDICAL CARE PC
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Dates
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Enumeration Date | 03/09/2021
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Last Update Date | 03/09/2021
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Provider Practice Location Address
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Address Line | 18 ORCHARD ST
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City | MIDDLETOWN
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State | NY
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Zip | 10940-5005
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Country | US
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Telephone | 845-381-5331
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Fax | 731-201-5499
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Provider Business Mailing Address
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Address Line | 163 DAWN DR
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City | WESTTOWN
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State | NY
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Zip | 10998-2824
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Country | US
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Telephone | 845-645-5287
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Fax | 731-201-5499
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSHUA N VERNATTER
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Credential | MD
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Telephone | 845-645-5287
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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