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General NPI Number Information
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NPI Number | 1497848899
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Entity Type | Organization
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Legal Business Name | JUANITO CAGUIAT JR PHYSICIAN, PLLC
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Dates
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Enumeration Date | 09/30/2006
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Last Update Date | 07/03/2008
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Provider Practice Location Address
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Address Line | 9303 90TH AVE FL 1
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City | WOODHAVEN
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State | NY
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Zip | 11421-2751
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Country | US
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Telephone | 718-850-1320
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Fax | 718-850-6087
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Provider Business Mailing Address
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Address Line | 153 CRESCENT DR
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City | ALBERTSON
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State | NY
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Zip | 11507-1103
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Country | US
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Telephone | 516-625-2789
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Fax | 516-625-2789
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Authorized Official
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Title or Position | PRESIDENT/ OWNER
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Name | JUANITO M CAGUIAT JR.
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Credential | MD
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Telephone | 718-850-1320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 188263
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License Number State | NY
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