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General NPI Number Information
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NPI Number | 1497391486
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Entity Type | Organization
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Legal Business Name | CENTRAL PARK GYN
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Dates
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Enumeration Date | 11/25/2019
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Last Update Date | 11/25/2019
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Provider Practice Location Address
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Address Line | 233 W 58TH STREET
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City | NEW YORK
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State | NY
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Zip | 10019
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Country | US
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Telephone | 212-535-5037
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Fax |
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Provider Business Mailing Address
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Address Line | 233 W 58TH STREET
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City | NEW YORK
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State | NY
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Zip | 10019
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | AMIR RADJABI
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Credential |
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Telephone | 212-535-5037
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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