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General NPI Number Information
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NPI Number | 1396792644
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Entity Type | Individual
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Provider Name | HOWARD CORWIN MD
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Gender | Male
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Dates
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Enumeration Date | 05/30/2006
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Last Update Date | 11/16/2016
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Provider Practice Location Address
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Address Line | 2011 UNION BLVD
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City | BAY SHORE
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State | NY
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Zip | 11706-8030
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Country | US
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Telephone | 631-666-2900
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Fax | 631-666-2900
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Provider Business Mailing Address
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Address Line | 15 MONTROSE DR
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City | ROSLYN
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State | NY
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Zip | 11576-1098
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Country | US
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Telephone | 516-621-3076
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Fax |
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 140900
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 140900
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License Number State | NY
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