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General NPI Number Information
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NPI Number | 1396259826
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Entity Type | Organization
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Legal Business Name | IRINA POWERS MEDICAL PLLC
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Dates
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Enumeration Date | 11/20/2017
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Last Update Date | 11/20/2017
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Provider Practice Location Address
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Address Line | 1562 1ST AVE # 308
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City | NEW YORK
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State | NY
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Zip | 10028-4004
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Country | US
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Telephone | 347-248-1771
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Fax |
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Provider Business Mailing Address
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Address Line | 1562 1ST AVE # 308
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City | NEW YORK
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State | NY
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Zip | 10028-4004
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Country | US
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Telephone | 347-248-1771
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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. IRINA POWERS
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Credential | DO
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Telephone | 347-248-1771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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