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General NPI Number Information
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NPI Number | 1295993947
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Entity Type | Organization
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Legal Business Name | NEOPEDS MEDICAL SERVICES
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Dates
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Enumeration Date | 05/29/2008
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Last Update Date | 02/03/2011
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Provider Practice Location Address
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Address Line | 800 GRAND CONCOURSE FRNT 5
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City | BRONX
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State | NY
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Zip | 10451-3003
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Country | US
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Telephone | 718-401-8943
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Fax |
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Provider Business Mailing Address
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Address Line | 800 GRAND CONCOURSE FRNT 5
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City | BRONX
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State | NY
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Zip | 10451-3003
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | YVES G. VERNA
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Credential | MD
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Telephone | 718-401-8943
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number |
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License Number State |
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