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General NPI Number Information
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NPI Number | 1215538863
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Entity Type | Organization
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Legal Business Name | NEW ERA DIAGNOSTICS INC
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Dates
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Enumeration Date | 11/02/2020
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Last Update Date | 11/02/2020
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Provider Practice Location Address
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Address Line | 8815 168TH ST SUITE 1R
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City | JAMAICA
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State | NY
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Zip | 11432-4305
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Country | US
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Telephone | 908-917-8614
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Fax | 888-512-0602
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Provider Business Mailing Address
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Address Line | 2345 E 26TH ST FL 2
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City | BROOKLYN
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State | NY
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Zip | 11229-4920
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Country | US
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Telephone | 908-917-8614
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Fax | 888-512-0602
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Authorized Official
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Title or Position | DIRECTOR
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Name | GIVI ZERAGIA
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Credential |
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Telephone | 908-917-8614
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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 |
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License Number State |
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