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General NPI Number Information
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NPI Number | 1316053259
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Entity Type | Individual
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Provider Name | REYNALDO MANUBAY PUNSAL MD
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Gender | Male
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 03/02/2022
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Provider Practice Location Address
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Address Line | 247 WALT WHITMAN RD
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City | HUNTINGTON STATION
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State | NY
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Zip | 11746-4119
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Country | US
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Telephone | 631-923-2450
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Fax | 631-923-2451
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Provider Business Mailing Address
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Address Line | 73 JOYCE RD
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City | PLAINVIEW
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State | NY
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Zip | 11803-3939
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Country | US
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Telephone | 516-225-5518
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Fax | 516-625-0747
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 154892
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License Number State | NY
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