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General NPI Number Information
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NPI Number | 1548020357
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Entity Type | Organization
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Legal Business Name | AMBER STONE MEDICAL PC
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Dates
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Enumeration Date | 03/20/2024
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 115 BROADHOLLOW RD STE 10
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City | MELVILLE
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State | NY
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Zip | 11747-4992
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Country | US
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Telephone | 631-990-4352
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Fax |
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Provider Business Mailing Address
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Address Line | 115 BROADHOLLOW RD STE 10
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City | MELVILLE
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State | NY
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Zip | 11747-4992
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Country | US
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Telephone | 631-990-4352
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Fax |
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Authorized Official
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Title or Position | BOOK KEEPER
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Name | ANABELL MORALES
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Credential |
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Telephone | 212-877-5500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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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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