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General NPI Number Information
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NPI Number | 1457650152
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Entity Type | Organization
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Legal Business Name | BAY MEDICAL CARE SERVICES PLLC
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Dates
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Enumeration Date | 03/21/2011
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Last Update Date | 03/21/2011
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Provider Practice Location Address
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Address Line | 42 RICHMOND TER 1ST FLOOR
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City | STATEN ISLAND
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State | NY
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Zip | 10301-1909
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Country | US
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Telephone | 718-273-2700
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Fax | 718-273-2795
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Provider Business Mailing Address
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Address Line | 42 RICHMOND TER 1ST FLOOR
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City | STATEN ISLAND
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State | NY
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Zip | 10301-1909
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Country | US
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Telephone | 718-273-2700
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Fax | 718-273-2795
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | ISOLDA TSAPOK
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Credential | MD
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Telephone | 718-273-2700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State | NY
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