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General NPI Number Information
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NPI Number | 1225321029
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Entity Type | Organization
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Legal Business Name | JAMES P. GURTOWSKI, M.D., P.C.
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Dates
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Enumeration Date | 05/26/2011
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Last Update Date | 06/03/2011
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Provider Practice Location Address
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Address Line | 110 E MAIN ST SUITE 7
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City | HUNTINGTON
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State | NY
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Zip | 11743-2845
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Country | US
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Telephone | 631-673-5255
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Fax | 631-673-4949
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Provider Business Mailing Address
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Address Line | 110 E MAIN ST SUITE 7
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City | HUNTINGTON
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State | NY
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Zip | 11743-2845
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Country | US
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Telephone | 631-673-5255
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Fax | 631-673-4949
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Authorized Official
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Title or Position | OWNER
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Name | JAMES PATRICK GURTOWSKI
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Credential | M.D.
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Telephone | 631-673-5255
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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 | 163559
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License Number State | NY
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