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General NPI Number Information
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NPI Number | 1790058378
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Entity Type | Organization
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Legal Business Name | METROPOLITAN OPTIMAL WELLNESS MC PC
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Dates
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Enumeration Date | 02/13/2012
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Last Update Date | 02/13/2012
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Provider Practice Location Address
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Address Line | 250 W 49TH ST STE 503
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City | NEW YORK
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State | NY
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Zip | 10019-7400
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Country | US
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Telephone | 212-545-9730
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Fax |
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Provider Business Mailing Address
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Address Line | 603 W 148TH ST APT 2B
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City | NEW YORK
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State | NY
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Zip | 10031-3134
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Country | US
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Telephone | 212-545-9730
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JUDITH ANN VOLPE
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Credential | MD
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Telephone | 212-545-9730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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