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General NPI Number Information
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NPI Number | 1710141528
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Entity Type | Individual
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Provider Name | AURIMAS KNEPA MD
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Gender | Male
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Dates
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Enumeration Date | 07/11/2008
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Last Update Date | 07/11/2008
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Provider Practice Location Address
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Address Line | 1400 PELHAM PKWY S BLDG 2 STAFF HOUSE RM. 518
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City | BRONX
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State | NY
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Zip | 10461-1138
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Country | US
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Telephone | 718-918-3230
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Fax |
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Provider Business Mailing Address
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Address Line | 5834 LINCOLN AVE UNIT B
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City | MORTON GROVE
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State | IL
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Zip | 60053-3330
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Country | US
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Telephone | 847-965-1665
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Fax |
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 249484
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License Number State | NY
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