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General NPI Number Information
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NPI Number | 1447874599
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Entity Type | Organization
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Legal Business Name | 950 PARK AVENUE PLASTIC SURGERY, P.L.L.C.
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Dates
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Enumeration Date | 06/04/2020
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Last Update Date | 10/13/2020
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Provider Practice Location Address
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Address Line | 950 PARK AVE
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City | NEW YORK
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State | NY
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Zip | 10028-0320
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Country | US
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Telephone | 212-203-8623
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Fax | 855-833-0695
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Provider Business Mailing Address
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Address Line | 950 PARK AVE STE 1A
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City | NEW YORK
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State | NY
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Zip | 10028-0320
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Country | US
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Telephone | 212-203-8623
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Fax | 855-833-0695
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Authorized Official
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Title or Position | OWNER
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Name | MARK ALBERT
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Credential | MD
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Telephone | 212-203-8623
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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