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NPI 1144547753

NPI 1144547753 : ALLIED MEDICAL, P.C. : WEST HEMPSTEAD, NY

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General NPI Number Information
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    NPI Number           |    1144547753
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALLIED MEDICAL, P.C. 
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Dates
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    Enumeration Date     |    04/23/2010
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    Last Update Date     |    04/23/2010
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Provider Practice Location Address
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    Address Line         |    135 WOODFIELD RD 
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    City                 |    WEST HEMPSTEAD
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    State                |    NY
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    Zip                  |    11552-2524
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    Country              |    US
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    Telephone            |    516-385-1525
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    135 WOODFIELD RD 
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    City                 |    WEST HEMPSTEAD
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    State                |    NY
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    Zip                  |    11552-2524
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    Country              |    US
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    Telephone            |    516-385-1525
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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. STACEY  WHITE 
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    Credential           |    D.O.
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    Telephone            |    516-385-1525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2081P2900X
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    Taxonomy Name        |    Pain Medicine (Physical Medicine & Rehabilitation) Physician
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    License Number       |    
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    License Number State |    
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