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General NPI Number Information
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NPI Number | 1174773758
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Entity Type | Individual
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Provider Name | OSKAR GAWEDA M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/19/2008
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Last Update Date | 10/12/2021
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Provider Practice Location Address
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Address Line | 6605 FRESH POND RD
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City | RIDGEWOOD
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State | NY
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Zip | 11385-3334
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Country | US
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Telephone | 718-271-9900
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Fax |
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Provider Business Mailing Address
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Address Line | 11912 PARK LN S
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City | KEW GARDENS
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State | NY
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Zip | 11415-1021
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Country | US
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Telephone | 607-371-1195
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Fax | 844-273-5792
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 264565
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License Number State | NY
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