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General NPI Number Information
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NPI Number | 1497904361
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Entity Type | Organization
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Legal Business Name | ONE HANSON PLACE PEDIATRICS, PC
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Dates
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Enumeration Date | 09/16/2008
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Last Update Date | 09/16/2008
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Provider Practice Location Address
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Address Line | 1 HANSON PL SUITE 708
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City | BROOKLYN
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State | NY
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Zip | 11243-2907
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Country | US
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Telephone | 718-783-5437
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Fax | 718-783-3840
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Provider Business Mailing Address
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Address Line | 1 HANSON PL SUITE 708
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City | BROOKLYN
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State | NY
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Zip | 11243-2907
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Country | US
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Telephone | 718-783-5437
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Fax | 718-783-3840
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Authorized Official
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Title or Position | PRESIDENT
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Name | SONIA MILIZA VINAS
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Credential | MD
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Telephone | 718-783-5437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 179887
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License Number State | NY
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