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General NPI Number Information
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NPI Number | 1568500478
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Entity Type | Organization
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Legal Business Name | ROLAND J. FIGUEREDO
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 06/19/2008
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Provider Practice Location Address
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Address Line | 30 W 138TH ST
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City | NEW YORK
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State | NY
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Zip | 10037-1710
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Country | US
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Telephone | 212-690-7400
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Fax | 212-740-6693
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Provider Business Mailing Address
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Address Line | 420 E 72ND ST 17 E
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City | NEW YORK
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State | NY
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Zip | 10021-4650
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Country | US
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Telephone | 212-861-2576
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Fax |
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Authorized Official
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Title or Position | UNIT PHYSICIAN
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Name | DR. ROLAND JOSEPH FIGUEREDO
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Credential | M.D.
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Telephone | 212-690-7400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 119118
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License Number State | NY
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