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General NPI Number Information
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NPI Number | 1255539110
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Entity Type | Organization
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Legal Business Name | 927 5TH OBS LLC
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Dates
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Enumeration Date | 07/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 927 5TH AVE
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City | NEW YORK
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State | NY
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Zip | 10021
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Country | US
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Telephone | 212-249-7900
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Fax | 212-737-6600
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Provider Business Mailing Address
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Address Line | 927 5TH AVE
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City | NEW YORK
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State | NY
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Zip | 10021
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Country | US
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Telephone | 212-249-7900
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Fax | 212-737-6600
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT G SCHWAGER
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Credential | MD
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Telephone | 212-249-7900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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