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NPI 1740677129

NPI 1740677129 : MEDSCINET CONSULTANTS, LLC : MOUNT SINAI, NY

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General NPI Number Information
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    NPI Number           |    1740677129
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    Entity Type          |    Organization 
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    Legal Business Name  |    MEDSCINET CONSULTANTS, LLC 
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Dates
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    Enumeration Date     |    04/23/2015
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    Last Update Date     |    04/23/2015
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Provider Practice Location Address
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    Address Line         |    5507 NESCONSET HWY STE 10 SUITE 407
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    City                 |    MOUNT SINAI
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    State                |    NY
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    Zip                  |    11766-2019
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    Country              |    US
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    Telephone            |    631-404-6300
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5507 NESCONSET HWY STE 10 SUITE 407
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    City                 |    MOUNT SINAI
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    State                |    NY
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    Zip                  |    11766-2019
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    Country              |    US
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    Telephone            |    631-404-6300
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. STEPHEN A VITKUN 
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    Credential           |    
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    Telephone            |    631-404-6300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207LP2900X
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    Taxonomy Name        |    Pain Medicine (Anesthesiology) Physician
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    License Number       |    
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    License Number State |    
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