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General NPI Number Information
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NPI Number | 1457346942
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Entity Type | Organization
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Legal Business Name | MEDSTAR SURGICAL
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Dates
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Enumeration Date | 09/12/2005
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Last Update Date | 03/06/2008
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Provider Practice Location Address
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Address Line | 3657 ALBANY POST RD
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City | POUGHKEEPSIE
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State | NY
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Zip | 12601-1177
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Country | US
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Telephone | 845-452-5490
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Fax | 845-452-5470
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Provider Business Mailing Address
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Address Line | 1540 128TH ST
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City | COLLEGE POINT
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State | NY
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Zip | 11356-2336
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Country | US
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Telephone | 718-460-2900
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Fax | 718-460-2996
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Authorized Official
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Title or Position | CEO
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Name | MR. ZEB PIRZADA
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Credential |
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Telephone | 718-460-2900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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