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General NPI Number Information
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NPI Number | 1639542939
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Entity Type | Organization
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Legal Business Name | KOLB RADIOLOGY P.C.
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Dates
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Enumeration Date | 11/09/2015
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Last Update Date | 11/09/2015
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Provider Practice Location Address
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Address Line | 307 E 60TH ST
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City | NEW YORK
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State | NY
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Zip | 10022-1505
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Country | US
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Telephone | 212-602-1900
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Fax | 646-666-0669
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Provider Business Mailing Address
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Address Line | 307 E 60TH ST
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City | NEW YORK
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State | NY
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Zip | 10022-1505
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Country | US
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Telephone | 212-602-1900
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Fax | 646-666-0669
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Authorized Official
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Title or Position | OWNER
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Name | THOMAS KOLB
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Credential |
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Telephone | 212-602-1900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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