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General NPI Number Information
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NPI Number | 1477261915
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Entity Type | Organization
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Legal Business Name | IBIS MEDICAL CARE PLLC
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Dates
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Enumeration Date | 11/14/2022
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Last Update Date | 11/14/2022
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Provider Practice Location Address
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Address Line | 1/2 BOLLING PL
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City | GREENWICH
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State | CT
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Zip | 06830-6540
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Country | US
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Telephone | 855-424-7555
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Fax |
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Provider Business Mailing Address
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Address Line | 403 MAIN ST #794
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City | ARMONK
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State | NY
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Zip | 10504-9998
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Country | US
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Telephone | 855-424-7555
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN MEMBER/OWNER
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Name | DANIELLE RAMSDEN
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Credential | MD
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Telephone | 615-585-4194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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