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General NPI Number Information
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NPI Number | 1588657415
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Entity Type | Individual
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Provider Name | GAGARINI TITOV ESPINO MD
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Gender | Male
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Dates
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Enumeration Date | 08/25/2005
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Last Update Date | 10/13/2014
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Provider Practice Location Address
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Address Line | 100 E 77TH ST LENOX HILL HOSPITAL, RADIOLOGY DEPARTMENT, 3RD FLOOR
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City | NEW YORK
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State | NY
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Zip | 10075-1850
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Country | US
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Telephone | 212-434-2685
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Fax | 212-434-2945
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Provider Business Mailing Address
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Address Line | 100 E 77TH ST LENOX HILL HOSPITAL, RADIOLOGY DEPARTMENT, 3RD FLOOR
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City | NEW YORK
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State | NY
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Zip | 10075-1850
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Country | US
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Telephone | 212-434-2685
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Fax | 212-434-2945
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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 | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | MD432789
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number | MD432789
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 180989
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD432789
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | MD432789
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License Number State | PA
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