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General NPI Number Information
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NPI Number | 1518277623
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Entity Type | Organization
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Legal Business Name | JANE Z WACHS PLLC
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Dates
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Enumeration Date | 10/08/2010
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Last Update Date | 10/08/2010
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Provider Practice Location Address
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Address Line | 3220 FAIRFIELD AVE
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City | BRONX
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State | NY
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Zip | 10463-3240
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Country | US
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Telephone | 718-432-6740
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Fax |
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Provider Business Mailing Address
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Address Line | 3220 FAIRFIELD AVE
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City | BRONX
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State | NY
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Zip | 10463-3240
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Country | US
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Telephone | 718-432-6740
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Fax |
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Authorized Official
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Title or Position | ACCT MGR
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Name | JOELLEN GATELY
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Credential |
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Telephone | 844-426-6864
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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