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General NPI Number Information
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NPI Number | 1578744892
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Entity Type | Organization
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Legal Business Name | CYPRESS MEDICAL SURGICAL SERVICES LLP
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Dates
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Enumeration Date | 11/15/2007
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Last Update Date | 01/28/2008
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Provider Practice Location Address
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Address Line | 418 STANHOPE ST
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City | BROOKLYN
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State | NY
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Zip | 11237-4403
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Country | US
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Telephone | 718-456-3438
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Fax | 718-456-3444
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Provider Business Mailing Address
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Address Line | 418 STANHOPE ST
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City | BROOKLYN
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State | NY
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Zip | 11237-4403
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Country | US
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Telephone | 718-456-3438
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Fax | 718-456-3444
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Authorized Official
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Title or Position | PARTNER
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Name | DR. PERCY ERACHSHAW
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Credential | DO
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Telephone | 718-417-4606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 222537
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License Number State | NY
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