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General NPI Number Information
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NPI Number | 1528328382
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Entity Type | Organization
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Legal Business Name | RIVER VIEW FERTILITY MEDICINE, PC
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Dates
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Enumeration Date | 05/25/2012
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Last Update Date | 05/25/2012
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Provider Practice Location Address
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Address Line | 51 E 67TH ST
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City | NEW YORK
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State | NY
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Zip | 10065-5949
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Country | US
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Telephone | 212-430-6009
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Fax |
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Provider Business Mailing Address
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Address Line | 51 E 67TH ST
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City | NEW YORK
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State | NY
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Zip | 10065-5949
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Country | US
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Telephone | 212-430-6009
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JESSE HADE
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Credential | MD
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Telephone | 212-430-6009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0006X
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Taxonomy Name | Ambulatory Fertility Facility
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License Number | 201579
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License Number State | NY
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