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General NPI Number Information
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NPI Number | 1235583790
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Entity Type | Organization
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Legal Business Name | FULTON GI MEDICAL PLLC
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Dates
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Enumeration Date | 04/20/2016
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Last Update Date | 10/12/2016
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Provider Practice Location Address
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Address Line | 3916 PRINCE ST STE 354
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City | FLUSHING
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State | NY
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Zip | 11354-5367
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Country | US
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Telephone | 212-431-4309
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Fax |
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Provider Business Mailing Address
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Address Line | 3916 PRINCE ST STE 354
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City | FLUSHING
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State | NY
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Zip | 11354-5367
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Country | US
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Telephone | 718-316-6873
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Fax | 718-316-6874
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Authorized Official
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Title or Position | MEMBER
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Name | DR. ANTHONY NG
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Credential | MD
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Telephone | 212-431-4309
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 196705
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 187495
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State | NY
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