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General NPI Number Information
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NPI Number | 1659536357
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Entity Type | Organization
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Legal Business Name | STEVEN B. TAMARIN MEDICAL PC
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Dates
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Enumeration Date | 07/22/2008
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Last Update Date | 07/22/2008
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Provider Practice Location Address
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Address Line | 441 W END AVE 1J
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City | NEW YORK
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State | NY
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Zip | 10024-5326
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Country | US
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Telephone | 212-496-2291
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Fax | 212-496-2133
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Provider Business Mailing Address
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Address Line | 441 W END AVE 1J
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City | NEW YORK
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State | NY
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Zip | 10024-5326
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Country | US
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Telephone | 212-496-2291
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Fax | 212-496-2133
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Authorized Official
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Title or Position | DIRECTOR
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Name | STEVEN BARRY TAMARIN
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Credential | MD
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Telephone | 212-496-2291
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 132493
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License Number State | NY
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