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General NPI Number Information
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NPI Number | 1295896637
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Entity Type | Individual
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Provider Name | MICHAEL GLENN TUNIK MD
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Gender | Male
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 462 1ST AVE BELLEVUE HOSPITAL - PEDIATRICS 9 WEST 24
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City | NEW YORK
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State | NY
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Zip | 10016-9196
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Country | US
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Telephone | 212-562-3403
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Fax | 212-562-7752
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Provider Business Mailing Address
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Address Line | 462 1ST AVE BELLEVUE HOSPITAL - PEDIATRICS 9 WEST 24
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City | NEW YORK
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State | NY
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Zip | 10016-9196
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Country | US
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Telephone | 212-562-3403
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Fax | 212-562-7752
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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 | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | 157969
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License Number State | NY
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