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General NPI Number Information
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NPI Number | 1689018509
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Entity Type | Organization
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Legal Business Name | HEALTH MED PHYSICIAN P C
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Dates
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Enumeration Date | 04/22/2013
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Last Update Date | 04/24/2013
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Provider Practice Location Address
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Address Line | 26 DUBLIN CT
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City | LATHAM
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State | NY
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Zip | 12110-3708
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Country | US
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Telephone | 508-739-0826
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Fax |
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Provider Business Mailing Address
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Address Line | 344 GROVE ST 12
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City | JERSEY CITY
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State | NJ
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Zip | 07302-5923
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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 | PRESIDENT
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Name | AFROZA SULTANA LITON
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Credential | M.D.
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Telephone | 508-739-0826
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease 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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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