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General NPI Number Information
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NPI Number | 1295045029
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Entity Type | Organization
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Legal Business Name | MICHAEL J. ALBOM MD P C
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Dates
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Enumeration Date | 10/14/2010
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Last Update Date | 05/03/2011
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Provider Practice Location Address
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Address Line | 33 E 70TH ST 1F
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City | NEW YORK
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State | NY
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Zip | 10021-4985
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Country | US
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Telephone | 212-517-2121
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Fax | 212-517-5601
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Provider Business Mailing Address
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Address Line | 33 E. 70TH ST 1F
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City | NEW YORK
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State | NY
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Zip | 10021-4985
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Country | US
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Telephone | 212-517-2121
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Fax | 212-517-5601
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. MICHAEL J. ALBOM
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Credential | M.D.
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Telephone | 212-517-2121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number |
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License Number State |
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