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General NPI Number Information
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NPI Number | 1679574941
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Entity Type | Individual
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Provider Name | RENAT ARSLANOV MD
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Gender | Male
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 01/08/2018
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Provider Practice Location Address
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Address Line | 4350 VAN CORTLANDT PARK E
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City | BRONX
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State | NY
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Zip | 10470-1875
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Country | US
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Telephone | 718-231-6565
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Fax | 718-231-8477
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Provider Business Mailing Address
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Address Line | 22 SAW MILL RIVER RD
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City | HAWTHORNE
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State | NY
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Zip | 10532-1533
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Country | US
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Telephone | 914-593-1606
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Fax | 914-593-1790
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | P6775
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | P6775
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 246229
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License Number State | NY
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