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General NPI Number Information
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NPI Number | 1245629278
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Entity Type | Organization
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Legal Business Name | POLLNER, TEPLITZ & ASSOCIATES, MDS, P.C.
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Dates
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Enumeration Date | 01/14/2015
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Last Update Date | 01/14/2015
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Provider Practice Location Address
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Address Line | 3003 NEW HYDE PARK RD SUITE 306
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City | NEW HYDE PARK
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State | NY
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Zip | 11042-1206
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Country | US
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Telephone | 516-352-0022
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Fax | 516-352-0407
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Provider Business Mailing Address
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Address Line | 21 SUSAN LN
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City | DIX HILLS
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State | NY
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Zip | 11746-5140
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Country | US
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Telephone | 917-301-3255
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Fax | 631-424-7891
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARK POLLNER
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Credential | M.D.
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Telephone | 917-301-3255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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