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General NPI Number Information
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NPI Number | 1477378297
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Entity Type | Organization
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Legal Business Name | SORIN AMBULATORY, LLC
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Dates
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Enumeration Date | 11/18/2024
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 120 WALL ST STE 175
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City | NEW YORK
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State | NY
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Zip | 10005-3904
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Country | US
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Telephone | 212-738-0900
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Fax | 718-266-0900
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Provider Business Mailing Address
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Address Line | 120 WALL ST STE 175
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City | NEW YORK
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State | NY
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Zip | 10005-3904
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Country | US
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Telephone | 212-738-0900
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Fax | 718-266-0900
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Authorized Official
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Title or Position | PRESIDENT /OWNER
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Name | JOSEPH PUMA
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Credential | DO
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Telephone | 718-266-0900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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