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General NPI Number Information
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NPI Number | 1164770871
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Entity Type | Organization
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Legal Business Name | IRVING PL SURGERY AND WELLNESS CTR
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Dates
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Enumeration Date | 08/28/2012
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Last Update Date | 08/28/2012
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Provider Practice Location Address
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Address Line | 67 IRVING PL, 10TH FL
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City | NEW YORK
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State | NY
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Zip | 10003-2252
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Country | US
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Telephone | 212-674-2484
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Fax | 212-674-2486
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Provider Business Mailing Address
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Address Line | 67 IRVING PL, 10TH FL
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City | NEW YORK
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State | NY
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Zip | 10003-2252
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Country | US
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Telephone | 212-674-2484
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Fax | 212-674-2486
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Authorized Official
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Title or Position | CEO
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Name | RAMESH K SAWHNEY
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Credential | M.D.
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Telephone | 212-674-2484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 154748
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License Number State | NY
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