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General NPI Number Information
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NPI Number | 1265670277
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Entity Type | Organization
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Legal Business Name | ANNA ARSENOUS PHYSICIAN PLLC
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Dates
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Enumeration Date | 01/29/2009
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Last Update Date | 01/31/2014
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Provider Practice Location Address
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Address Line | 7919 MYRTLE AVE
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City | GLENDALE
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State | NY
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Zip | 11385-7441
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Country | US
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Telephone | 718-821-1000
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Fax | 718-821-4685
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Provider Business Mailing Address
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Address Line | 7919 MYRTLE AVE
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City | GLENDALE
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State | NY
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Zip | 11385-7441
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Country | US
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Telephone | 718-821-1000
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Fax | 718-821-4685
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANNA ARSENOUS
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Credential | MD
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Telephone | 718-821-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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