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General NPI Number Information
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NPI Number | 1609927615
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Entity Type | Individual
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Provider Name | STEPHEN FRIST MD
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Gender | Male
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | 400 ROUTE 59
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City | MONSEY
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State | NY
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Zip | 10952
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Country | US
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Telephone | 845-517-0230
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Fax | 845-369-7082
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Provider Business Mailing Address
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Address Line | 400 ROUTE 59
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City | MONSEY
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State | NY
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Zip | 10952
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Country | US
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Telephone | 845-517-0230
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Fax | 845-369-7082
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 203182
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License Number State | NY
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