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General NPI Number Information
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NPI Number | 1205846409
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Entity Type | Organization
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Legal Business Name | EKG TESTING SERVICES INC
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 07/24/2012
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Provider Practice Location Address
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Address Line | 87103 257TH ST
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City | FLORAL PARK
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State | NY
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Zip | 11001-2033
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Country | US
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Telephone | 718-428-1666
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Fax | 718-428-3102
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Provider Business Mailing Address
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Address Line | 42-02 215 STREET
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City | BAYSIDE
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State | NY
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Zip | 11361-2931
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Country | US
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Telephone | 800-354-4968
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Fax | 718-428-3102
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MRS. NANCY E MOONEY
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Credential |
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Telephone | 718-428-1666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 197800-1
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License Number State | NY
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