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General NPI Number Information
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NPI Number | 1811288442
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Entity Type | Organization
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Legal Business Name | ALBERT P HIRDT DO PC
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Dates
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Enumeration Date | 04/30/2011
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Last Update Date | 01/24/2012
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Provider Practice Location Address
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Address Line | 4 VICTORY CT
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City | NEWBURGH
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State | NY
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Zip | 12550-1745
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Country | US
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Telephone | 845-565-9886
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Fax | 845-565-7084
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Provider Business Mailing Address
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Address Line | 23 KAPROLET LN
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City | WALDEN
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State | NY
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Zip | 12586-2449
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Country | US
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Telephone |
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Fax | 845-566-0767
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Authorized Official
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Title or Position | OWNER
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Name | ALBERT P HIRDT
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Credential | DO
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Telephone | 845-566-0563
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 168541
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License Number State | NY
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