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General NPI Number Information
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NPI Number | 1376509364
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Entity Type | Individual
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Provider Name | MICHAEL G TEITEL MD
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Gender | Male
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 05/14/2019
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Provider Practice Location Address
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Address Line | 10 UNION SQ E
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City | NEW YORK
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State | NY
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Zip | 10003-3314
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Country | US
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Telephone | 212-844-8505
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Fax | 212-696-5682
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Provider Business Mailing Address
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Address Line | 150 E 42ND ST FL 9
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City | NEW YORK
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State | NY
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Zip | 10017-5699
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Country | US
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Telephone | 212-844-8505
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Fax | 212-696-5682
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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 | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number | 122080
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | 122-080
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License Number State | NY
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