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General NPI Number Information
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NPI Number | 1821091745
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Entity Type | Individual
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Provider Name | RONALD PRESTON MD
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Gender | Male
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 05/19/2021
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Provider Practice Location Address
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Address Line | 15 N BROADWAY
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City | WHITE PLAINS
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State | NY
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Zip | 10601-2214
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Country | US
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Telephone | 914-428-6000
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Fax | 914-593-7881
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Provider Business Mailing Address
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Address Line | PO BOX 5801
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City | NEW YORK
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State | NY
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Zip | 10087-5801
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Country | US
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Telephone | 914-593-7880
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Fax | 914-593-7881
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 180157
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 180157
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License Number State | NY
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