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General NPI Number Information
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NPI Number | 1124167705
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Entity Type | Organization
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Legal Business Name | SCIENTIFIC MEDICAL SYSTEMS
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 350 FIFTH AVE SUITE 7120
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City | NEW YORK
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State | NY
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Zip | 10118-7120
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Country | US
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Telephone | 212-330-8500
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Fax | 212-330-8536
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Provider Business Mailing Address
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Address Line | 350 FIFTH AVE SUITE 7120
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City | NEW YORK
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State | NY
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Zip | 10118-7120
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Country | US
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Telephone | 212-330-8500
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Fax | 212-330-8536
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Authorized Official
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Title or Position | ASSISTANT LABORATORY DIRECTOR
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Name | DR. GARY J. FISCHMAN
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Credential | PH.D.
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Telephone | 212-330-8500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | PFI 7404
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License Number State | NY
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