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General NPI Number Information
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NPI Number | 1689917577
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Entity Type | Organization
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Legal Business Name | NEW GENERATION PRIMARY CARE PC
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Dates
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Enumeration Date | 03/29/2013
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Last Update Date | 04/01/2013
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Provider Practice Location Address
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Address Line | 214-08 HILLSIDE AVENUE
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City | QUEENS VILLAGE
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State | NY
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Zip | 11427
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Country | US
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Telephone | 516-326-0506
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Fax |
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Provider Business Mailing Address
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Address Line | 348 LOWELL AVE
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City | FLORAL PARK
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State | NY
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Zip | 11001-1640
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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 | OWNER
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Name | DR. NEELA PATEL
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Credential |
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Telephone | 516-326-0506
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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