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NPI 1578893038

NPI 1578893038 : ANS MEDICAL PLLC : GREAT NECK, NY

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General NPI Number Information
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    NPI Number           |    1578893038
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    Entity Type          |    Organization 
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    Legal Business Name  |    ANS MEDICAL PLLC 
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Dates
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    Enumeration Date     |    01/06/2010
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    Last Update Date     |    01/06/2010
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Provider Practice Location Address
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    Address Line         |    8 N CIRCLE DR 
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    City                 |    GREAT NECK
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    State                |    NY
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    Zip                  |    11021-1709
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    Country              |    US
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    Telephone            |    516-238-6855
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    Fax                  |    646-224-8549
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Provider Business Mailing Address
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    Address Line         |    8 N CIRCLE DR 
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    City                 |    GREAT NECK
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    State                |    NY
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    Zip                  |    11021-1709
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    Country              |    US
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    Telephone            |    516-238-6855
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    Fax                  |    646-224-8549
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     SING  CHAN 
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    Credential           |    MD
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    Telephone            |    718-886-6292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    6589797
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    License Number State |    NY
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