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General NPI Number Information
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NPI Number | 1326714098
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Entity Type | Organization
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Legal Business Name | CITY OB GYN PC
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Dates
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Enumeration Date | 08/21/2021
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Last Update Date | 07/17/2022
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Provider Practice Location Address
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Address Line | 345 E 37TH ST RM 318
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City | NEW YORK
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State | NY
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Zip | 10016-3256
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Country | US
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Telephone | 718-673-6379
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Fax |
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Provider Business Mailing Address
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Address Line | 2351 ADAM CLAYTON POWELL JR BLVD APT 407
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City | NEW YORK
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State | NY
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Zip | 10030-0569
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Country | US
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Telephone | 224-856-7758
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DWAITA PATEL
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Credential | MD
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Telephone | 224-856-7758
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number |
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License Number State |
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