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General NPI Number Information
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NPI Number | 1528363850
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Entity Type | Organization
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Legal Business Name | NY CITY MEDICAL, PC
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Dates
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Enumeration Date | 01/18/2011
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Last Update Date | 01/18/2011
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Provider Practice Location Address
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Address Line | 38 E 57TH ST 7TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10022-2512
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Country | US
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Telephone | 212-845-9255
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Fax | 347-602-4674
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Provider Business Mailing Address
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Address Line | 38 E 57TH ST 7TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10022-2512
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Country | US
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Telephone | 212-845-9255
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Fax | 347-602-4674
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Authorized Official
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Title or Position | OWNER
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Name | DR. PAULO PACHECO
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Credential | MD
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Telephone | 212-845-9255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 197946
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License Number State | NY
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