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General NPI Number Information
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NPI Number | 1760266241
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Entity Type | Organization
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Legal Business Name | BIG APPLE MEDICAL SERVICES
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Dates
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Enumeration Date | 08/24/2023
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Last Update Date | 08/24/2023
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Provider Practice Location Address
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Address Line | 71 W S ORANGE AVE #314
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City | SOUTH ORANGE
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State | NJ
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Zip | 07079
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Country | US
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Telephone | 917-560-4524
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Fax |
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Provider Business Mailing Address
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Address Line | 71 W S ORANGE AVE #314
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City | SOUTH ORANGE
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State | NJ
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Zip | 07079
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Country | US
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Telephone | 917-560-4524
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | ANDREW DAVY
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Credential | MD
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Telephone | 917-560-4524
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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