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General NPI Number Information
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NPI Number | 1265204473
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Entity Type | Individual
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Provider Name | MARK AFAM GREENFIELD LMT
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Gender | Male
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Dates
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Enumeration Date | 10/23/2023
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Last Update Date | 10/23/2023
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Provider Practice Location Address
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Address Line | 530 7TH AVE RM 908
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City | NEW YORK
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State | NY
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Zip | 10018-4838
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Country | US
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Telephone | 212-729-3970
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Fax |
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Provider Business Mailing Address
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Address Line | 424 W END AVE APT 6B
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City | NEW YORK
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State | NY
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Zip | 10024-5777
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Country | US
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Telephone | 917-836-2610
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Fax |
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 017466-01
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License Number State | NY
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