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General NPI Number Information
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NPI Number | 1144343401
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Entity Type | Individual
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Provider Name | ANA TANASE-TEACA M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 01/13/2015
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Provider Practice Location Address
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Address Line | 48 CEDAR ST BUENAVIDA CONTINUING CARE AND REHABILITATION CENTER
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City | BROOKLYN
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State | NY
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Zip | 11221-3253
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Country | US
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Telephone | 718-928-3461
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Fax | 718-928-3496
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Provider Business Mailing Address
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Address Line | 6040 60TH DR #21
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City | MASPETH
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State | NY
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Zip | 11378-3507
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Country | US
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Telephone | 347-987-3446
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 247249
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License Number State | NY
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