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NPI 1366608424

NPI 1366608424 : IRINA SOBOL M.D. : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1366608424
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    Entity Type          |    Individual 
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    Provider Name        |    IRINA SOBOL M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/29/2008
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    Last Update Date     |    09/13/2017
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Provider Practice Location Address
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    Address Line         |    520 E 70TH ST STARR 4
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10021-9800
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    Country              |    US
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    Telephone            |    212-746-2381
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    520 E 70TH ST STARR 4
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10021-9800
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    Country              |    US
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    Telephone            |    212-746-2381
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    Fax                  |    
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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       |    233221
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    207RA0001X
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    Taxonomy Name        |    Advanced Heart Failure and Transplant Cardiology Physician
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    License Number       |    233221
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    License Number State |    NY
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