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General NPI Number Information
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NPI Number | 1053695015
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Entity Type | Organization
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Legal Business Name | JAMES J. PETER'S, BRONX VETERAN MEDICAL CENTER
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Dates
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Enumeration Date | 10/07/2011
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Last Update Date | 10/07/2011
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Provider Practice Location Address
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Address Line | 1840 GRAND CONCOURSE APT 3B
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City | BRONX
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State | NY
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Zip | 10457-5506
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Country | US
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Telephone | 646-244-8365
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Fax |
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Provider Business Mailing Address
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Address Line | 1840 GRAND CONCOURSE APT 3B
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City | BRONX
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State | NY
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Zip | 10457-5506
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Country | US
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Telephone | 646-244-8365
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Fax |
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Authorized Official
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Title or Position | RESEARCH COORDINATOR
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Name | DR. RAJESH ARUN PERSAUD
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Credential | M.D.
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Telephone | 718-584-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2865M2000X
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Taxonomy Name | Military General Acute Care Hospital
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License Number |
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License Number State |
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