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General NPI Number Information
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NPI Number | 1124094917
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Entity Type | Individual
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Provider Name | JESS TING MD
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Gender | Male
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Dates
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Enumeration Date | 02/23/2006
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Last Update Date | 01/26/2010
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Provider Practice Location Address
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Address Line | 5 E 98TH ST 14TH FL
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City | NEW YORK
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State | NY
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Zip | 10029-6574
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Country | US
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Telephone | 212-241-8512
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Fax | 212-534-2654
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Provider Business Mailing Address
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Address Line | 1 GUSTAVE L LEVY PL BOX 1263
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City | NEW YORK
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State | NY
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Zip | 10029-6574
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Country | US
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Telephone | 212-241-8512
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Fax | 212-534-2654
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 218544
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2082S0105X
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Taxonomy Name | Surgery of the Hand (Plastic Surgery) Physician
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License Number | 218544
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License Number State | NY
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