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General NPI Number Information
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NPI Number | 1184071433
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Entity Type | Organization
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Legal Business Name | OB-GYN EXPRESS MEDICAL SERVICES, PLLC
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Dates
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Enumeration Date | 05/17/2016
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Last Update Date | 08/30/2016
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Provider Practice Location Address
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Address Line | 7062 KISSENA BLVD FL 2
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City | FLUSHING
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State | NY
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Zip | 11367-2245
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Country | US
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Telephone | 518-844-6243
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Fax |
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Provider Business Mailing Address
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Address Line | 705 S WILLIAM ST
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City | JOHNSTOWN
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State | NY
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Zip | 12095-3212
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Country | US
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Telephone | 518-844-6243
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. UME FARWA
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Credential | MD
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Telephone | 212-203-4444
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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 |
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License Number State |
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