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General NPI Number Information
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NPI Number | 1780788000
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Entity Type | Individual
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Provider Name | MORTON D BLAUFOX MD,PH.D
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Gender | Male
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Dates
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Enumeration Date | 09/08/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | MMC - DEPT. OF NUCLEAR MED. 1695-A EASTCHESTER ROAD
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City | BRONX
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State | NY
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Zip | 10461
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Country | US
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Telephone | 718-405-8454
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Fax |
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Provider Business Mailing Address
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Address Line | 101 DRAKE SMITH LN
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City | RYE
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State | NY
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Zip | 10580-4316
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Country | US
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Telephone | 718-405-8454
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Fax | 718-824-0625
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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 | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number | 096301
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License Number State | NY
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