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General NPI Number Information
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NPI Number | 1336883644
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Entity Type | Organization
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Legal Business Name | PPS CLINIX NEW YORK
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Dates
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Enumeration Date | 04/22/2022
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Last Update Date | 05/05/2022
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Provider Practice Location Address
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Address Line | 101 AVENUE OF THE AMERICAS FL 8
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City | NEW YORK
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State | NY
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Zip | 10013-1905
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Country | US
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Telephone | 347-829-7110
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Fax |
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Provider Business Mailing Address
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Address Line | 14932 83RD ST
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City | HOWARD BEACH
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State | NY
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Zip | 11414-1207
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Country | US
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Telephone | 929-385-7957
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER/CEO
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Name | DR. RAYMOND H RUFEN-BLANCHETTE
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Credential | PHD
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Telephone | 929-385-7957
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number |
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License Number State |
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