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General NPI Number Information
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NPI Number | 1083046981
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Entity Type | Individual
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Provider Name | MICHAELA BEDER MD
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Gender | Female
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Dates
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Enumeration Date | 08/01/2013
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Last Update Date | 08/01/2013
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Provider Practice Location Address
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Address Line | 198 EAST 121ST STREET, 5TH FLOOR JANIAN MEDICAL CARE
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City | NEW YORK
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State | NY
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Zip | 10035
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Country | US
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Telephone | 212-803-2719
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Fax |
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Provider Business Mailing Address
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Address Line | 1235 HALSEY ST APT 3L
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City | BROOKLYN
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State | NY
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Zip | 11237-6292
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Country | US
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Telephone | 347-498-5589
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 271548
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License Number State | NY
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