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General NPI Number Information
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NPI Number | 1669426680
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Entity Type | Organization
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Legal Business Name | HEDY MIGDEN MD PC
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 04/01/2014
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Provider Practice Location Address
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Address Line | 24 MADISON AVENUE EXT
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City | ALBANY
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State | NY
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Zip | 12203-5396
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Country | US
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Telephone | 518-452-5447
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Fax | 518-452-5423
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Provider Business Mailing Address
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Address Line | 24 MADISON AVENUE EXT
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City | ALBANY
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State | NY
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Zip | 12203-5396
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Country | US
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Telephone | 518-452-5447
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Fax | 518-452-5423
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Authorized Official
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Title or Position | MD/OWNER
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Name | DR. HEDY MIGDEN
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Credential | M.D.
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Telephone | 518-452-5447
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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 | 179056
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 179056
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License Number State | NY
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