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General NPI Number Information
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NPI Number | 1457417396
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Entity Type | Individual
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Provider Name | LUMINITA M DAVID MD
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Gender | Female
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | MMG - CROSS COUNTY 1010 CENTRAL PARK AVENUE
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City | YONKERS
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State | NY
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Zip | 10704
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Country | US
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Telephone | 914-964-4056
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Fax |
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Provider Business Mailing Address
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Address Line | 6937 INGRAM ST
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City | FOREST HILLS
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State | NY
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Zip | 11375-5833
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Country | US
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Telephone | 914-964-4056
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Fax | 914-964-4044
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 147082
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License Number State | NY
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