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General NPI Number Information
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NPI Number | 1699924787
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Entity Type | Organization
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Legal Business Name | RUGGIERO-DECARLO & SHAHEM, PHYSICIANS P.C.
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Dates
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Enumeration Date | 09/12/2008
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Last Update Date | 09/12/2008
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Provider Practice Location Address
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Address Line | 10031 4TH AVE SUITE 1E
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City | BROOKLYN
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State | NY
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Zip | 11209-8335
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Country | US
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Telephone | 718-921-5370
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Fax | 718-921-9136
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Provider Business Mailing Address
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Address Line | 10031 4TH AVE SUITE 1E
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City | BROOKLYN
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State | NY
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Zip | 11209-8335
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Country | US
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Telephone | 718-921-5370
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Fax | 718-921-9136
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ELIZABETH PUGLIONISI
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Credential |
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Telephone | 718-921-5370
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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 |
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License Number State |
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