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General NPI Number Information
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NPI Number | 1538232962
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Entity Type | Individual
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Provider Name | ARSENIO MIGUEL TIO MD
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Gender | Male
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 01/17/2024
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Provider Practice Location Address
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Address Line | 231 SHERMAN AVE SUITE 1F
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City | NEW YORK
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State | NY
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Zip | 10034-2511
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Country | US
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Telephone | 212-567-4770
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Fax | 718-732-2580
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Provider Business Mailing Address
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Address Line | 231 SHERMAN AVE SUITE 1F
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City | NEW YORK
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State | NY
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Zip | 10034-2511
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Country | US
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Telephone | 212-567-4770
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Fax | 212-544-9014
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 168328
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License Number State | NY
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