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General NPI Number Information
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NPI Number | 1184798621
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Entity Type | Organization
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Legal Business Name | RALPH K. MESSO JR., D.O., P.C.
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 01/24/2008
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Provider Practice Location Address
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Address Line | 4143 RICHMOND AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10312-5637
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Country | US
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Telephone | 718-966-5556
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Fax | 718-966-7483
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Provider Business Mailing Address
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Address Line | 4143 RICHMOND AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10312-5637
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Country | US
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Telephone | 718-966-5556
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Fax | 718-966-7483
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. RALPH K MESSO JR.
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Credential | D.O.
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Telephone | 718-966-5556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 184376
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 184376
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License Number State | NY
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