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General NPI Number Information
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NPI Number | 1700138310
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Entity Type | Organization
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Legal Business Name | THE DOC IS IN FAMILY URGENT CARE
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Dates
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Enumeration Date | 10/05/2012
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Last Update Date | 10/05/2012
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Provider Practice Location Address
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Address Line | 171 E 74TH ST SUITE 1
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City | NEW YORK
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State | NY
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Zip | 10021-3221
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Country | US
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Telephone | 917-464-5220
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Fax | 917-463-3996
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Provider Business Mailing Address
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Address Line | 171 E 74TH ST SUITE 1
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City | NEW YORK
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State | NY
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Zip | 10021-3221
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Country | US
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Telephone | 917-464-5220
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Fax | 917-463-3996
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. JOSEPH HAROLD MARCEL-SAINT-LOUIS DE MERTINE
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Credential | MD
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Telephone | 917-464-5220
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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 | 233842
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License Number State | NY
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