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General NPI Number Information
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NPI Number | 1134529035
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Entity Type | Organization
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Legal Business Name | STRATEGY ANESTHESIA NEW YORK PLLC
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Dates
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Enumeration Date | 08/27/2014
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Last Update Date | 08/27/2014
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Provider Practice Location Address
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Address Line | 4902 QUEENS BLVD
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City | WOODSIDE
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State | NY
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Zip | 11377-4444
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Country | US
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Telephone | 718-784-4502
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Fax | 718-784-5180
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Provider Business Mailing Address
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Address Line | 19644 CLUB HOUSE RD
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City | MONTGOMERY VILLAGE
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State | MD
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Zip | 20886-3047
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Country | US
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Telephone | 703-665-3046
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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. KASHIF IRFAN
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Credential | M.D.
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Telephone | 703-665-3046
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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