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General NPI Number Information
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NPI Number | 1154628501
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Entity Type | Organization
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Legal Business Name | RICHMOND MEDICAL HEALTH CARE P.C.
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Dates
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Enumeration Date | 02/22/2011
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Last Update Date | 04/07/2011
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Provider Practice Location Address
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Address Line | 2691 HYLAN BLVD
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City | STATEN ISLAND
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State | NY
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Zip | 10306-4357
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Country | US
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Telephone | 718-351-1221
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Fax | 718-351-1253
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Provider Business Mailing Address
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Address Line | 935 SINCLAIR AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10309-2230
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Country | US
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Telephone | 718-351-1221
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Fax | 718-351-1253
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Authorized Official
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Title or Position | PHYSICION
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Name | DR. ISOLDA TSAPOK
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Credential | DO
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Telephone | 718-351-1221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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