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General NPI Number Information
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NPI Number | 1255499661
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Entity Type | Individual
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Provider Name | GERARD JOSEPH IGEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1613 TENBROECK AVE
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City | BRONX
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State | NY
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Zip | 10461-2007
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Country | US
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Telephone | 718-828-9060
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Fax | 718-828-9845
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Provider Business Mailing Address
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Address Line | 565 W END AVE APARTMENT 18D
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City | NEW YORK
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State | NY
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Zip | 10024-2705
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Country | US
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Telephone | 212-769-0467
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Fax | 212-769-0484
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 149545
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License Number State | NY
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