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General NPI Number Information
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NPI Number | 1346517216
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Entity Type | Organization
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Legal Business Name | SHR MEDICAL PC
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Dates
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Enumeration Date | 11/21/2011
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Last Update Date | 11/21/2011
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Provider Practice Location Address
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Address Line | 23 ANPELL DR
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City | SCARSDALE
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State | NY
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Zip | 10583-6101
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Country | US
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Telephone | 914-714-8827
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Fax |
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Provider Business Mailing Address
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Address Line | 23 ANPELL DR
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City | SCARSDALE
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State | NY
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Zip | 10583-6101
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Country | US
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Telephone | 914-714-8827
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEPHEN H ROBINSON
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Credential | MD
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Telephone | 914-714-8827
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | 092385
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License Number State | NY
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