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General NPI Number Information
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NPI Number | 1235353376
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Entity Type | Organization
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Legal Business Name | MS FAMILY MEDICINE HEALTH CARE, PC
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 10/05/2012
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Provider Practice Location Address
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Address Line | 241-08 140TH AVE
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City | ROSEDALE
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State | NY
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Zip | 11422-2022
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Country | US
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Telephone | 718-949-0146
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Fax | 718-949-1576
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Provider Business Mailing Address
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Address Line | 241-08 140TH AVE
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City | ROSEDALE
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State | NY
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Zip | 11422-2022
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Country | US
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Telephone | 718-949-0146
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Fax | 718-949-1576
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Authorized Official
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Title or Position | PARTNER
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Name | DR. MICHELE CLAUDETTE REED
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Credential | DO
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Telephone | 718-949-0146
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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