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General NPI Number Information
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NPI Number | 1083718597
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Entity Type | Individual
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Provider Name | VICTOR POLITI MD
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Gender | Male
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 04/30/2019
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Provider Practice Location Address
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Address Line | 1000 MONTAUK HWY
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City | WEST ISLIP
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State | NY
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Zip | 11795-4927
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Country | US
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Telephone | 631-376-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 2787 LEE PL
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City | BELLMORE
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State | NY
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Zip | 11710-5003
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Country | US
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Telephone | 718-558-1139
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 196484
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 196484
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License Number State | NY
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