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General NPI Number Information
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NPI Number | 1346439031
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Entity Type | Individual
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Provider Name | DR. EVA GALSTIAN
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Gender | Female
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Dates
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Enumeration Date | 10/18/2007
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Last Update Date | 07/30/2015
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Provider Practice Location Address
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Address Line | 150 BROADWAY 1702
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City | NEW YORK
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State | NY
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Zip | 10038-4400
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Country | US
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Telephone | 917-409-7575
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Fax | 917-720-9037
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Provider Business Mailing Address
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Address Line | 150 BROADWAY 1702
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City | NEW YORK
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State | NY
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Zip | 10038-4400
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Country | US
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Telephone | 917-409-7575
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Fax | 917-720-9037
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 254838
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License Number State | NY
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