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General NPI Number Information
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NPI Number | 1558649350
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Entity Type | Organization
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Legal Business Name | RUSSEL C HUANG MD PC
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Dates
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Enumeration Date | 07/27/2011
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Last Update Date | 06/28/2012
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Provider Practice Location Address
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Address Line | 535 E 70TH ST
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City | NEW YORK
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State | NY
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Zip | 10021-4823
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Country | US
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Telephone | 212-606-1634
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Fax | 212-774-7130
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Provider Business Mailing Address
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Address Line | 535 E 70TH ST
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City | NEW YORK
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State | NY
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Zip | 10021-4823
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Country | US
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Telephone | 212-606-1634
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Fax | 212-774-7130
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Authorized Official
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Title or Position | MANAGER
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Name | DR. RUSSEL C. HUANG
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Credential | M.D.
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Telephone | 212-606-1634
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 216711
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License Number State | NY
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