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General NPI Number Information
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NPI Number | 1801103189
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Entity Type | Organization
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Legal Business Name | NAPA MEDICAL GROUP, PLLC
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Dates
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Enumeration Date | 09/08/2010
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Last Update Date | 07/19/2013
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Provider Practice Location Address
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Address Line | 68 S SERVICE RD SUITE 350
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City | MELVILLE
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State | NY
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Zip | 11747-2354
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Country | US
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Telephone | 516-945-3000
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Fax | 516-945-3131
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Provider Business Mailing Address
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Address Line | 68 S SERVICE RD SUITE 350
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City | MELVILLE
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State | NY
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Zip | 11747-2354
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Country | US
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Telephone | 516-945-3000
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Fax | 516-945-3131
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Authorized Official
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Title or Position | VP, CONTRACTING &PHYSICIAN SERVICES
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Name | KAREN ENGLER
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Credential |
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Telephone | 516-945-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 167786
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License Number State | NY
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