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General NPI Number Information
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NPI Number | 1710169578
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Entity Type | Organization
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Legal Business Name | MICHAEL SCHLOSS MD PC
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Dates
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Enumeration Date | 12/03/2007
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Last Update Date | 12/03/2007
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Provider Practice Location Address
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Address Line | 304A E 30TH ST
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City | NEW YORK
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State | NY
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Zip | 10016-8303
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Country | US
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Telephone | 212-213-2900
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Fax | 212-696-9388
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Provider Business Mailing Address
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Address Line | 304A E 30TH ST
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City | NEW YORK
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State | NY
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Zip | 10016-8303
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Country | US
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Telephone | 212-213-2900
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Fax | 212-696-9388
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL F SCHLOSS
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Credential | MD
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Telephone | 212-213-2900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F302926
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 112610
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License Number State | NY
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