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General NPI Number Information
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NPI Number | 1386891539
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Entity Type | Organization
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Legal Business Name | ANTHONY INGUAGGIATO MD LLC
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Dates
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Enumeration Date | 08/19/2008
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Last Update Date | 08/19/2008
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Provider Practice Location Address
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Address Line | 201 E 16TH ST RM 4B
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City | NEW YORK
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State | NY
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Zip | 10003-3706
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Country | US
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Telephone | 212-995-5308
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 900
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City | ALPINE
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State | NJ
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Zip | 07620-0900
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Country | US
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Telephone | 212-995-5308
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ANTHONY INGUAGGIATO
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Credential | MD
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Telephone | 212-995-5308
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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 |
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License Number State |
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