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General NPI Number Information
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NPI Number | 1427795517
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Entity Type | Organization
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Legal Business Name | EDELORBE LLC
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Dates
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Enumeration Date | 05/19/2022
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Last Update Date | 05/19/2022
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Provider Practice Location Address
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Address Line | 116 E 124TH ST
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City | NEW YORK
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State | NY
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Zip | 10035-1924
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Country | US
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Telephone | 646-979-3316
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Fax | 646-979-3320
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Provider Business Mailing Address
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Address Line | 603 W 148TH ST APT 9B
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City | NEW YORK
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State | NY
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Zip | 10031-3135
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Country | US
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Telephone | 347-930-0280
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Fax | 718-347-4643
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. EDUARDO J DEL ORBE
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Credential | MD
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Telephone | 917-862-5215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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