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General NPI Number Information
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NPI Number | 1649466129
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Entity Type | Organization
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Legal Business Name | STRACAR MEDICAL SERVICES, P.C.
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Dates
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Enumeration Date | 09/19/2007
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Last Update Date | 09/19/2007
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Provider Practice Location Address
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Address Line | 9205 ROCKAWAY BLVD 1ST FLOOR
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City | OZONE PARK
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State | NY
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Zip | 11417-2428
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Country | US
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Telephone | 718-925-9797
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Fax | 718-925-9696
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Provider Business Mailing Address
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Address Line | 9205 ROCKAWAY BLVD 1ST FLOOR
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City | OZONE PARK
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State | NY
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Zip | 11417-2428
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Country | US
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Telephone | 718-925-9797
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Fax | 718-925-9696
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. EMIL STRACAR
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Credential | M.D.
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Telephone | 718-925-9797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 190157
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License Number State | NY
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