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General NPI Number Information
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NPI Number | 1164170510
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Entity Type | Organization
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Legal Business Name | WEST END PEDIATRICS, PC
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Dates
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Enumeration Date | 03/15/2022
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Last Update Date | 03/15/2022
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Provider Practice Location Address
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Address Line | 450 WEST END AVENUE # STE #1E
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City | NEW YORK
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State | NY
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Zip | 10024
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Country | US
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Telephone | 212-769-3070
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Fax |
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Provider Business Mailing Address
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Address Line | 450 WEST END AVENUE # STE #1E
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City | NEW YORK
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State | NY
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Zip | 10024
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Country | US
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Telephone | 212-769-3070
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BARNEY SOFTNESS
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Credential | MD
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Telephone | 917-734-3810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number |
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License Number State |
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