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General NPI Number Information
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NPI Number | 1053520528
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Entity Type | Organization
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Legal Business Name | JAMES A RAND MD LLC
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 10/16/2013
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Provider Practice Location Address
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Address Line | 20012 44TH AVE 3RD FLOOR
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City | BAYSIDE
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State | NY
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Zip | 11361-2510
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Country | US
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Telephone | 718-224-7454
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Fax | 718-225-8430
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Provider Business Mailing Address
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Address Line | 20012 44TH AVE 3RD FLOOR
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City | BAYSIDE
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State | NY
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Zip | 11361-2510
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Country | US
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Telephone | 718-224-7454
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Fax | 718-225-8430
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Authorized Official
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Title or Position | PHYSICIAN
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Name | JAMES A RAND
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Credential | M.D.
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Telephone | 718-224-7454
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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 | 135615
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License Number State | NY
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