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General NPI Number Information
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NPI Number | 1629576913
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Entity Type | Organization
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Legal Business Name | HEM OF HIS GARMENT GYNECOLOGY, PLLC
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Dates
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Enumeration Date | 02/01/2018
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Last Update Date | 02/01/2018
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Provider Practice Location Address
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Address Line | 363 GREENE AVE FL GROUND
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City | BROOKLYN
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State | NY
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Zip | 11216-4749
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Country | US
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Telephone | 191-720-2002
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Fax | 917-202-0027
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Provider Business Mailing Address
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Address Line | 363 GREENE AVE FL GROUND
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City | BROOKLYN
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State | NY
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Zip | 11216-4749
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Country | US
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Telephone | 718-789-1101
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Fax | 718-483-8500
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Authorized Official
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Title or Position | OWNER
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Name | VINETTE W TUMMINGS
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Credential | MD
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Telephone | 917-202-0027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 203949
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License Number State | NY
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