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General NPI Number Information
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NPI Number | 1386147353
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Entity Type | Individual
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Provider Name | RASHOUN JAMEL TATE EKG TECH
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Gender | Male
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Dates
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Enumeration Date | 03/15/2018
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Last Update Date | 03/15/2018
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Provider Practice Location Address
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Address Line | 1901 1ST AVE METROPOLITAN HOSPITAL 7B-6
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City | NEW YORK
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State | NY
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Zip | 10029-7404
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Country | US
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Telephone | 212-423-8456
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Fax | 212-423-6338
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Provider Business Mailing Address
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Address Line | 1901 1ST AVE METROPOLITAN HOSPITAL
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City | NEW YORK
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State | NY
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Zip | 10029-7404
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Country | US
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Telephone | 212-423-6271
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Fax | 212-423-6338
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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 | 374700000X
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Taxonomy Name | Technician
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License Number | 819940
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License Number State | KS
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