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General NPI Number Information
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NPI Number | 1437581105
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Entity Type | Individual
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Provider Name | TINA LAW DO
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Gender | Female
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Dates
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Enumeration Date | 08/05/2013
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Last Update Date | 06/17/2024
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Provider Practice Location Address
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Address Line | 550 1ST AVE
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City | NEW YORK
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State | NY
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Zip | 10016-6402
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Country | US
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Telephone | 212-263-5072
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Fax | 212-263-7254
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Provider Business Mailing Address
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Address Line | 11 E 36TH ST RM 1106
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City | NEW YORK
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State | NY
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Zip | 10016-3368
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Country | US
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Telephone |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 288217
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number | 288217
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License Number State | NY
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