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General NPI Number Information
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NPI Number | 1679598502
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Entity Type | Organization
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Legal Business Name | KML MEDICAL ASSOCIATES, P.C.
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 12/10/2010
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Provider Practice Location Address
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Address Line | 60 GRAMERCY PARK NORTH SUITE 1B
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City | NEW YORK
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State | NY
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Zip | 10010-5429
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Country | US
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Telephone | 212-254-1220
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Fax | 212-254-1387
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Provider Business Mailing Address
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Address Line | 60 GRAMERCY PARK NORTH SUITE 1B
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City | NEW YORK
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State | NY
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Zip | 10010-5429
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Country | US
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Telephone | 212-254-1220
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Fax | 212-254-1387
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Authorized Official
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Title or Position | OWNER
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Name | MIHAELA I GALICA
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Credential | M.D.
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Telephone | 212-254-1182
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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