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General NPI Number Information
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NPI Number | 1225099211
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Entity Type | Individual
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Provider Name | EDWARD L. SOCOLOW M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/29/2006
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Last Update Date | 11/08/2012
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Provider Practice Location Address
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Address Line | 60 GOLDENS BRIDGE RD
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City | KATONAH
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State | NY
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Zip | 10536-3447
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Country | US
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Telephone | 914-401-8053
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Fax | 914-232-3366
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Provider Business Mailing Address
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Address Line | 190 GOLDENS BRIDGE RD
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City | KATONAH
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State | NY
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Zip | 10536-2810
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Country | US
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Telephone | 914-401-8053
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Fax | 914-232-3366
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 102-922
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License Number State | NY
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