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General NPI Number Information
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NPI Number | 1588815062
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Entity Type | Organization
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Legal Business Name | TERMINI MEDICAL CARE, PC
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Dates
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Enumeration Date | 10/02/2008
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Last Update Date | 10/02/2008
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Provider Practice Location Address
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Address Line | 1452 DEER PARK AVE
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City | NORTH BABYLON
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State | NY
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Zip | 11703-1209
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Country | US
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Telephone | 631-254-4480
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Fax | 631-254-4970
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Provider Business Mailing Address
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Address Line | 1452 DEER PARK AVE
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City | NORTH BABYLON
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State | NY
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Zip | 11703-1209
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Country | US
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Telephone | 631-254-4480
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Fax | 631-254-4970
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANTHONY TERMINI
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Credential | DO
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Telephone | 631-254-4420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 205431
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License Number State | NY
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