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General NPI Number Information
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NPI Number | 1326288978
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Entity Type | Organization
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Legal Business Name | DR ROBERT N PRICHEP PHYSICIAN PC
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Dates
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Enumeration Date | 02/23/2009
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Last Update Date | 07/29/2009
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Provider Practice Location Address
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Address Line | 286 SILLS RD SUITE 5
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City | EAST PATCHOGUE
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State | NY
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Zip | 11772-8810
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Country | US
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Telephone | 631-654-9090
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Fax | 631-654-0265
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Provider Business Mailing Address
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Address Line | 286 SILLS RD SUITE 5
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City | EAST PATCHOGUE
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State | NY
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Zip | 11772-8810
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Country | US
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Telephone | 631-654-9090
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Fax | 631-654-0265
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Authorized Official
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Title or Position | BILLING ADMINISTRATOR
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Name | TONI G CELMS
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Credential |
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Telephone | 631-737-4168
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 148405
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License Number State | NY
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