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General NPI Number Information
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NPI Number | 1114011210
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Entity Type | Organization
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Legal Business Name | SOUND EMERGENCY PHYSICIANS, PC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 09/08/2011
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Provider Practice Location Address
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Address Line | 365 BROADWAY SUITE 1
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City | AMITYVILLE
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State | NY
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Zip | 11701-2716
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Country | US
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Telephone | 631-841-4102
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Fax | 631-841-4104
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Provider Business Mailing Address
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Address Line | 3323 JUDITH DR
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City | BELLMORE
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State | NY
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Zip | 11710-5420
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Country | US
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Telephone | 516-286-4439
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Fax | 516-783-4597
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LAWRENCE JAY KESSLER
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Credential | DO
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Telephone | 631-841-4102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 188733
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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 | 190107
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 189831
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License Number State | NY
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