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General NPI Number Information
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NPI Number | 1396922563
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Entity Type | Organization
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Legal Business Name | DR. RICARDO E POU PHYSICIAN P.C.
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Dates
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Enumeration Date | 01/29/2008
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Last Update Date | 01/29/2008
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Provider Practice Location Address
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Address Line | 229 W 97TH ST SUITE 1-D
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City | NEW YORK
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State | NY
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Zip | 10025-5609
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Country | US
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Telephone | 212-316-3276
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Fax |
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Provider Business Mailing Address
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Address Line | 229 W 97TH ST SUITE 1-D
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City | NEW YORK
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State | NY
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Zip | 10025-5609
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Country | US
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Telephone | 212-316-3276
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICARDO E POU
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Credential | M.D.
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Telephone | 212-316-3276
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 192097-1
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License Number State | NY
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