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General NPI Number Information
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NPI Number | 1184066698
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Entity Type | Organization
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Legal Business Name | UNION MEDICAL CARE, PLLC
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Dates
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Enumeration Date | 07/25/2013
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Last Update Date | 07/25/2013
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Provider Practice Location Address
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Address Line | 186-10 UNION TURNPIKE
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City | JAMAICA ESTATES
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State | NY
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Zip | 11366
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Country | US
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Telephone | 718-575-0974
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Fax | 718-268-2969
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Provider Business Mailing Address
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Address Line | 186-10 UNION TURNPIKE
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City | JAMAICA ESTATES
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State | NY
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Zip | 11366
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Country | US
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Telephone | 718-575-0974
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Fax | 718-268-2969
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Authorized Official
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Title or Position | OWNER
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Name | YITZ KAMINETZKY
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Credential |
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Telephone | 718-575-0974
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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