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General NPI Number Information
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NPI Number | 1649585431
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Entity Type | Organization
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Legal Business Name | SCHLESSINGER-LEVI-POLATSCH-TYDINGS, MD PC
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Dates
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Enumeration Date | 08/17/2010
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Last Update Date | 08/17/2010
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Provider Practice Location Address
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Address Line | 400 S OYSTER BAY RD SUITE 204
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City | HICKSVILLE
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State | NY
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Zip | 11801-3500
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Country | US
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Telephone | 516-931-4800
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Fax | 516-931-7241
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Provider Business Mailing Address
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Address Line | 400 S OYSTER BAY RD SUITE 204
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City | HICKSVILLE
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State | NY
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Zip | 11801-3500
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Country | US
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Telephone | 516-931-4800
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Fax | 516-931-7241
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LAWRENCE HENRY TYDINGS
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Credential | M.D.
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Telephone | 516-931-4800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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