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General NPI Number Information
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NPI Number | 1295036036
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Entity Type | Organization
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Legal Business Name | DAVID H SLAVIT MD PC
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Dates
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Enumeration Date | 11/10/2010
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Last Update Date | 11/10/2010
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Provider Practice Location Address
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Address Line | 787 PARK AVE
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City | NEW YORK
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State | NY
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Zip | 10021-3552
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Country | US
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Telephone | 212-517-9177
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Fax | 212-517-9109
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Provider Business Mailing Address
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Address Line | 787 PARK AVE
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City | NEW YORK
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State | NY
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Zip | 10021-3552
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Country | US
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Telephone | 212-517-9177
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Fax | 212-517-9109
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID HAL SLAVIT
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Credential | M.D.
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Telephone | 212-517-9177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 185825
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License Number State | NY
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