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General NPI Number Information
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NPI Number | 1770880924
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Entity Type | Organization
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Legal Business Name | CHINATOWN GLOBAL PEDIATRICS P.C.
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Dates
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Enumeration Date | 02/24/2011
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Last Update Date | 10/19/2012
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Provider Practice Location Address
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Address Line | 139 CENTRE ST SUITE 314
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City | NEW YORK
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State | NY
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Zip | 10013-4552
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Country | US
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Telephone | 212-274-1811
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Fax | 212-274-8457
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Provider Business Mailing Address
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Address Line | 139 CENTRE ST SUITE 314
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City | NEW YORK
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State | NY
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Zip | 10013-4552
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Country | US
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Telephone | 212-274-1811
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Fax | 212-274-8457
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. JANE S. WOO
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Credential |
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Telephone | 212-274-1811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 206511
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License Number State | NY
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