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General NPI Number Information
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NPI Number | 1386738664
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Entity Type | Organization
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Legal Business Name | NORTHERN WESTCHESTER INTERNAL MEDICINE
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 04/22/2013
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Provider Practice Location Address
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Address Line | 1872 COMMERCE ST
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City | YORKTOWN HEIGHTS
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State | NY
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Zip | 10598-4430
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Country | US
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Telephone | 914-962-3303
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Fax | 914-962-4271
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Provider Business Mailing Address
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Address Line | 1872 COMMERCE ST
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City | YORKTOWN HEIGHTS
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State | NY
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Zip | 10598
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Country | US
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Telephone | 914-962-3303
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Fax | 914-962-4271
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICHARD S KLEIN
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Credential | MD
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Telephone | 914-962-3303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 225325
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 101328
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 208923
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License Number State | NY
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