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General NPI Number Information
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NPI Number | 1093983892
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Entity Type | Organization
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Legal Business Name | CHARLES BALDUCCI,MD.PC
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Dates
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Enumeration Date | 02/14/2008
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Last Update Date | 02/14/2008
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Provider Practice Location Address
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Address Line | 38-25 PARSONS BLVD.
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City | FLUSHING
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State | NY
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Zip | 11354-5837
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Country | US
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Telephone | 718-358-8888
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Fax |
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Provider Business Mailing Address
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Address Line | 38-25 PARSONS BLVD.
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City | FLUSHING
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State | NY
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Zip | 11354-5837
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Country | US
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Telephone | 718-358-8888
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Fax |
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Authorized Official
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Title or Position | CHAIRMAN
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Name | CHARLES BALDUCCI
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Credential | MD,PC
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Telephone | 718-358-8888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1800X
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Taxonomy Name | Corporate Health Clinic/Center
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License Number |
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License Number State |
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