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General NPI Number Information
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NPI Number | 1063674125
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Entity Type | Organization
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Legal Business Name | RICHARD RATTOTTI MD PC
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Dates
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Enumeration Date | 06/30/2008
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Last Update Date | 07/03/2008
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Provider Practice Location Address
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Address Line | 1620 CROSBY AVE
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City | BRONX
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State | NY
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Zip | 10461-5201
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Country | US
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Telephone | 845-362-8100
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Fax | 845-354-6347
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Provider Business Mailing Address
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Address Line | 1620 CROSBY AVE
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City | BRONX
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State | NY
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Zip | 10461-5201
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Country | US
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Telephone | 845-362-8100
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Fax | 845-354-6347
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Authorized Official
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Title or Position | MEDICAL BILLING
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Name | MR. HANAN WAIZMAN
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Credential | BILLER
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Telephone | 845-362-8100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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