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General NPI Number Information
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NPI Number | 1811176290
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Entity Type | Organization
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Legal Business Name | I & R MEDICAL, P.C.
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Dates
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Enumeration Date | 11/01/2007
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Last Update Date | 11/04/2007
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Provider Practice Location Address
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Address Line | 6711 164TH ST
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City | FLUSHING
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State | NY
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Zip | 11365-3162
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Country | US
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Telephone | 718-762-4500
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Fax | 718-762-1917
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Provider Business Mailing Address
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Address Line | 6711 164TH ST
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City | FLUSHING
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State | NY
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Zip | 11365-3162
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Country | US
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Telephone | 718-762-4500
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Fax | 718-762-1917
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ISABELLA BANGY
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Credential | M.D.
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Telephone | 718-762-4500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X010723
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 210747
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License Number State | NY
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