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General NPI Number Information
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NPI Number | 1174294490
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Entity Type | Organization
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Legal Business Name | CONFIDENTIALITY MEDICAL SERVICES P.C.
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Dates
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Enumeration Date | 09/26/2021
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Last Update Date | 09/27/2021
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Provider Practice Location Address
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Address Line | 20124 43RD AVE FL 2
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City | BAYSIDE
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State | NY
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Zip | 11361-2545
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Country | US
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Telephone | 718-809-4921
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Fax | 212-202-4921
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Provider Business Mailing Address
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Address Line | 1133 MIDLAND AVE APT 1E
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City | BRONXVILLE
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State | NY
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Zip | 10708-6454
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Country | US
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Telephone | 718-809-4921
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Fax | 212-202-4921
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | RICARDO O. DUNNER
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Credential | MD
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Telephone | 718-809-4921
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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