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General NPI Number Information
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NPI Number | 1588130512
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Entity Type | Individual
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Provider Name | CHARANDY A.G JEAN BAPTISTE
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Gender | Male
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Dates
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Enumeration Date | 10/17/2018
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Last Update Date | 10/17/2018
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Provider Practice Location Address
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Address Line | 5 E 98TH ST FL 4
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City | NEW YORK
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State | NY
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Zip | 10029-6501
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Country | US
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Telephone | 212-731-7684
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Fax |
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Provider Business Mailing Address
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Address Line | 969 E 106TH ST FL 1
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City | BROOKLYN
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State | NY
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Zip | 11236-3011
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Country | US
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Telephone | 347-293-9844
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | NY
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