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General NPI Number Information
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NPI Number | 1801143714
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Entity Type | Organization
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Legal Business Name | ORANGE MEDICAL SERVICES PC
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Dates
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Enumeration Date | 08/09/2012
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Last Update Date | 12/13/2013
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Provider Practice Location Address
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Address Line | 437 W 125TH ST
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City | NEW YORK
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State | NY
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Zip | 10027-4201
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Country | US
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Telephone | 917-803-7473
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Fax |
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Provider Business Mailing Address
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Address Line | 437 W 125TH ST
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City | NEW YORK
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State | NY
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Zip | 10027-4201
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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 | DIRECTOR
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Name | ALBERT TURKIEH
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Credential | MD
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Telephone | 917-803-7473
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 233574
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License Number State | NY
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