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General NPI Number Information
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NPI Number | 1659615870
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Entity Type | Organization
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Legal Business Name | URBAN PEDIATRICS, PC
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Dates
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Enumeration Date | 11/15/2012
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Last Update Date | 11/15/2012
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Provider Practice Location Address
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Address Line | 6 HILLVIEW CT
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City | ARMONK
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State | NY
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Zip | 10504-1135
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Country | US
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Telephone | 914-815-7751
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Fax |
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Provider Business Mailing Address
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Address Line | 6 HILLVIEW CT
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City | ARMONK
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State | NY
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Zip | 10504-1135
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MICHELLE ANNE JINDAL
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Credential | MD
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Telephone | 914-815-7751
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 226404
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License Number State | NY
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