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General NPI Number Information
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NPI Number | 1356398713
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Entity Type | Individual
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Provider Name | SERGIO SOKOL M.D.,F.A.A.C.
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Gender | Male
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Dates
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Enumeration Date | 05/30/2006
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Last Update Date | 12/15/2022
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Provider Practice Location Address
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Address Line | 35 THIXTON DR STE K
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City | HEWLETT
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State | NY
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Zip | 11557-2631
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Country | US
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Telephone | 917-741-8599
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Fax | 516-569-0188
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Provider Business Mailing Address
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Address Line | 650 CENTRAL AVE STE K
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City | CEDARHURST
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State | NY
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Zip | 11516-2301
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Country | US
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Telephone | 917-741-8599
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Fax | 516-569-0188
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 205875
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License Number State | NY
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