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General NPI Number Information
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NPI Number | 1326494030
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Entity Type | Organization
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Legal Business Name | ROBERT A JASON MD PLLC
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Dates
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Enumeration Date | 05/11/2016
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Last Update Date | 05/11/2016
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Provider Practice Location Address
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Address Line | 1999 MARCUS AVE
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City | NEW HYDE PARK
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State | NY
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Zip | 11042-1033
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Country | US
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Telephone | 516-466-4020
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Fax | 516-773-6617
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Provider Business Mailing Address
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Address Line | 1999 MARCUS AVE
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City | NEW HYDE PARK
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State | NY
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Zip | 11042-1033
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Country | US
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Telephone | 516-466-4020
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Fax | 516-773-6617
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT ALAN JASON
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Credential | M.D.
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Telephone | 516-466-4020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 162749
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License Number State | NY
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