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General NPI Number Information
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NPI Number | 1225715402
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Entity Type | Individual
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Provider Name | STEVE MUNIZ MHA
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Gender | Male
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Dates
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Enumeration Date | 06/29/2023
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Last Update Date | 06/29/2023
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Provider Practice Location Address
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Address Line | 3333 HENRY HUDSON PKWY STE 6
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City | BRONX
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State | NY
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Zip | 10463-3224
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Country | US
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Telephone | 855-403-2007
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Fax | 855-403-2023
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Provider Business Mailing Address
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Address Line | 4305 BROADWAY APT 51
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City | NEW YORK
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State | NY
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Zip | 10033-3743
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Country | US
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Telephone | 917-346-4962
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Fax |
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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 | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 33D2282996
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License Number State | NY
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