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General NPI Number Information
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NPI Number | 1083984330
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Entity Type | Organization
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Legal Business Name | CROTON GI CARE, PC
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Dates
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Enumeration Date | 01/04/2012
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Last Update Date | 01/04/2012
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Provider Practice Location Address
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Address Line | 2005 ALBANY POST RD SUITE 15
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City | CROTON ON HUDSON
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State | NY
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Zip | 10520-1573
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Country | US
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Telephone | 914-271-4212
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Fax | 914-271-8319
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Provider Business Mailing Address
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Address Line | 2005 ALBANY POST RD SUITE 15
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City | CROTON ON HUDSON
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State | NY
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Zip | 10520-1573
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Country | US
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Telephone | 914-271-4212
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Fax | 914-271-8319
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JULIE ANN TORMAN
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Credential | MD
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Telephone | 914-271-4212
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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 | 194479
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License Number State | NY
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