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General NPI Number Information
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NPI Number | 1427337393
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Entity Type | Organization
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Legal Business Name | DR PHILIP R.BALDEO MEDICAL SERVICES,PC
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Dates
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Enumeration Date | 08/10/2011
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Last Update Date | 03/27/2017
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Provider Practice Location Address
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Address Line | 12507 LIBERTY AVE SOUTH RICHMOND HILL
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City | QUEENS
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State | NY
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Zip | 11419-2233
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Country | US
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Telephone | 718-845-8900
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Fax | 866-372-8750
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Provider Business Mailing Address
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Address Line | 125-07 LIBERTY AVE SOUTH RICHMOND HILL
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City | QUEENS
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State | NY
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Zip | 11419
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Country | US
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Telephone | 718-845-8900
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Fax | 866-372-8750
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Authorized Official
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Title or Position | DIRECTOR
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Name | PHILIP R BALDEO
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Credential | MD
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Telephone | 718-845-8900
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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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