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General NPI Number Information
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NPI Number | 1356880561
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Entity Type | Organization
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Legal Business Name | EPNEVMA, LLC
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Dates
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Enumeration Date | 02/21/2017
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Last Update Date | 02/21/2017
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Provider Practice Location Address
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Address Line | 10 AMSTERDAM AVE SUITE 801
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City | NEW YORK
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State | NY
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Zip | 10023-7464
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Country | US
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Telephone | 551-265-0597
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Fax |
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Provider Business Mailing Address
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Address Line | 10 AMSTERDAM AVE SUITE 801
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City | NEW YORK
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State | NY
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Zip | 10023-7464
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CTO
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Name | DR. ROTEM NAFTALOVICH
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Credential | M.D.
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Telephone | 551-265-0597
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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