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General NPI Number Information
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NPI Number | 1639681695
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Entity Type | Organization
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Legal Business Name | NEWYOU PC
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Dates
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Enumeration Date | 10/31/2017
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Last Update Date | 10/31/2017
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Provider Practice Location Address
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Address Line | 282 11TH AVE APT 3101
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City | NEW YORK
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State | NY
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Zip | 10001-1287
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Country | US
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Telephone | 562-394-7376
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Fax | 310-817-5334
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Provider Business Mailing Address
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Address Line | 282 11TH AVE APT 3101
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City | NEW YORK
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State | NY
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Zip | 10001-1287
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Country | US
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Telephone | 562-394-7376
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Fax | 310-817-5334
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Authorized Official
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Title or Position | OWNER
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Name | DR. KIKI HURT
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Credential | MD
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Telephone | 562-394-7376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 267815-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 267815-1
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License Number State | NY
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