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General NPI Number Information
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NPI Number | 1588255541
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Entity Type | Organization
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Legal Business Name | RVC OBS LLP
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Dates
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Enumeration Date | 02/01/2021
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Last Update Date | 02/01/2021
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Provider Practice Location Address
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Address Line | 55 MAPLE AVE STE 106
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-4267
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Country | US
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Telephone | 516-536-2221
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Fax | 516-764-8747
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Provider Business Mailing Address
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Address Line | 55 MAPLE AVE STE 106
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-4267
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Country | US
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Telephone | 516-536-2221
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Fax | 516-764-8747
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. TODD HALPER
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Credential | MD
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Telephone | 516-792-3315
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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