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General NPI Number Information
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NPI Number | 1316185523
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Entity Type | Organization
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Legal Business Name | SOUTHAMPTON IMMEDIATE MEDICAL CARE PC
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Dates
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Enumeration Date | 01/26/2009
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Last Update Date | 01/26/2009
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Provider Practice Location Address
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Address Line | 290 N SEA RD
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City | SOUTHAMPTON
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State | NY
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Zip | 11968-2034
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Country | US
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Telephone | 631-283-5900
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Fax | 631-287-7174
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Provider Business Mailing Address
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Address Line | 290 N SEA RD
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City | SOUTHAMPTON
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State | NY
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Zip | 11968-2034
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Country | US
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Telephone | 631-283-5900
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Fax | 631-287-7174
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JAMES EDMUND FRANK GIUGLIANO
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Credential | D.O.
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Telephone | 631-283-5900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 181535-1
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License Number State | NY
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