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General NPI Number Information
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NPI Number | 1699872952
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Entity Type | Individual
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Provider Name | NATHAN DOR MD
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 943 48TH ST
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City | BROOKLYN
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State | NY
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Zip | 11219-2919
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Country | US
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Telephone | 718-853-0471
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Fax |
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Provider Business Mailing Address
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Address Line | 66 FLAMINGO RD
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City | ROSLYN
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State | NY
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Zip | 11576-2708
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Country | US
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Telephone | 718-853-1535
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Fax | 718-853-2081
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 132200
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License Number State | NY
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