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General NPI Number Information
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NPI Number | 1184837791
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE PRIMARY CARE SERVICES PC
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 175 MEMORIAL HWY SUITE 2-1
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-5635
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Country | US
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Telephone | 914-235-7530
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Fax | 914-235-8470
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Provider Business Mailing Address
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Address Line | 175 MEMORIAL HWY SUITE 2-1
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-5635
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Country | US
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Telephone | 914-235-7530
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Fax | 914-235-8470
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MR. BASIL NJOKU
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Credential |
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Telephone | 914-235-7530
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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 |
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License Number State |
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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 |
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License Number State |
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