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General NPI Number Information
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NPI Number | 1497187645
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Entity Type | Organization
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Legal Business Name | YOUR METRO DR. IMMEDIATE CARE CENTER
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Dates
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Enumeration Date | 07/30/2013
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Last Update Date | 07/30/2013
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Provider Practice Location Address
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Address Line | 380 2ND AVE
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City | NEW YORK
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State | NY
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Zip | 10010-5615
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Country | US
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Telephone | 212-254-5600
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Fax | 212-254-5300
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Provider Business Mailing Address
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Address Line | 380 2ND AVE
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City | NEW YORK
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State | NY
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Zip | 10010-5615
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Country | US
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Telephone | 212-254-5600
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Fax | 212-254-5300
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ABRAHAM BERGER
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Credential | MD
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Telephone | 646-732-0089
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 211887
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License Number State | NY
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