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General NPI Number Information
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NPI Number | 1639697162
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Entity Type | Organization
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Legal Business Name | HOURGLASS MEDICAL SERVICES , PC
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Dates
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Enumeration Date | 09/05/2017
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Last Update Date | 09/05/2017
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Provider Practice Location Address
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Address Line | 4310 CHURCH AVE
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City | BROOKLYN
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State | NY
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Zip | 11203-3102
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Country | US
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Telephone | 718-287-1000
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Fax | 718-287-1000
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Provider Business Mailing Address
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Address Line | 4287 KATONAH AVE # 295
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City | BRONX
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State | NY
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Zip | 10470-2122
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Country | US
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Telephone | 718-287-1000
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | ANDREW DAVY
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Credential | MD
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Telephone | 718-287-1000
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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 |
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License Number State |
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