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General NPI Number Information
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NPI Number | 1477914349
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Entity Type | Organization
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Legal Business Name | FIRST STEP PEDIATRICS, P. C.
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Dates
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Enumeration Date | 03/18/2016
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Last Update Date | 03/18/2016
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Provider Practice Location Address
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Address Line | 3421 BROADWAY
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City | NEW YORK
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State | NY
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Zip | 10031-7404
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Country | US
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Telephone | 212-283-6100
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Fax | 212-283-6111
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Provider Business Mailing Address
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Address Line | 3421 BROADWAY
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City | NEW YORK
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State | NY
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Zip | 10031-7404
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Country | US
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Telephone | 212-283-6100
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Fax | 212-283-6111
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARIA M MOLINA
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Credential | M.D.
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Telephone | 212-283-6100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | 214440
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License Number State | NY
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