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General NPI Number Information
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NPI Number | 1417599473
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Entity Type | Organization
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Legal Business Name | ON CALL MEDICAL CARE PC
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Dates
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Enumeration Date | 10/11/2019
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Last Update Date | 10/11/2019
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Provider Practice Location Address
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Address Line | 372 SCHOOL ST
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-2439
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Country | US
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Telephone | 516-615-8586
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Fax |
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Provider Business Mailing Address
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Address Line | 302 SPRUCE ST
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-2408
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Country | US
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Telephone | 201-321-0349
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SIMON FENSTERSZAUB
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Credential | DO
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Telephone | 646-358-0688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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