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General NPI Number Information
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NPI Number | 1255605796
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Entity Type | Organization
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Legal Business Name | WINDSOR MEDICAL. PC
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Dates
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Enumeration Date | 03/01/2012
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Last Update Date | 03/05/2012
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Provider Practice Location Address
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Address Line | 3 RONALD LN
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City | SYOSSET
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State | NY
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Zip | 11791-3201
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Country | US
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Telephone | 631-393-6700
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Fax | 631-393-6699
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Provider Business Mailing Address
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Address Line | 3 RONALD LN
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City | SYOSSET
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State | NY
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Zip | 11791-3201
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Country | US
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Telephone | 631-393-6700
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Fax | 631-393-6699
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SCOTT A SPRINGER
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Credential | D.O
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Telephone | 631-393-6700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number | 208737
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License Number State | NY
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