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General NPI Number Information
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NPI Number | 1346562949
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Entity Type | Organization
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Legal Business Name | FIRST RIVERSIDE MEDICAL CARE P.C.
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Dates
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Enumeration Date | 02/23/2010
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Last Update Date | 02/23/2010
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Provider Practice Location Address
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Address Line | 4242 COLDEN ST SUITE L17
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City | FLUSHING
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State | NY
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Zip | 11355-4855
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Country | US
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Telephone | 718-661-4800
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Fax | 718-888-2701
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Provider Business Mailing Address
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Address Line | 4242 COLDEN ST SUITE L17
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City | FLUSHING
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State | NY
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Zip | 11355-4855
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Country | US
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Telephone | 718-661-4800
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Fax | 718-888-2701
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Authorized Official
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Title or Position | PRESIDENT
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Name | XIN TAN
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Credential | MD
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Telephone | 718-661-4800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 219846
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License Number State | NY
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