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General NPI Number Information
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NPI Number | 1104549716
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Entity Type | Organization
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Legal Business Name | FUSE MEDICAL PLLC
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Dates
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Enumeration Date | 09/20/2022
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Last Update Date | 01/30/2024
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Provider Practice Location Address
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Address Line | 175 MEMORIAL HWY STE 1-1
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-5639
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Country | US
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Telephone | 646-898-6734
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Fax |
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Provider Business Mailing Address
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Address Line | 175 MEMORIAL HWY STE 1-1
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-5639
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Country | US
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Telephone | 914-460-4891
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ILYA PARIZH
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Credential | DO
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Telephone | 914-460-4891
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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