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General NPI Number Information
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NPI Number | 1780920041
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Entity Type | Organization
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Legal Business Name | MEDREVIEW
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Dates
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Enumeration Date | 12/13/2012
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Last Update Date | 12/13/2012
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Provider Practice Location Address
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Address Line | 199 WATER ST 27TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10038-3526
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Country | US
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Telephone | 212-897-6001
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Fax | 212-897-6010
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Provider Business Mailing Address
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Address Line | 199 WATER ST 27TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10038-3526
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOSEPH STAMM
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Credential |
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Telephone | 212-897-6001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | 153374
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License Number State | NY
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