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General NPI Number Information
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NPI Number | 1821273335
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Entity Type | Organization
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Legal Business Name | RANDALL V. EHRLICH MD PC
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Dates
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Enumeration Date | 01/02/2008
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Last Update Date | 01/02/2008
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Provider Practice Location Address
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Address Line | 625 E FORDHAM RD
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City | BRONX
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State | NY
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Zip | 10458-5049
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Country | US
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Telephone | 718-933-1900
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Fax | 718-933-5321
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Provider Business Mailing Address
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Address Line | 68 BOULDER RIDGE RD
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City | SCARSDALE
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State | NY
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Zip | 10583-3150
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Country | US
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Telephone | 914-231-6541
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Fax | 914-231-9066
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RANDALL V. EHRLICH
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Credential | M.D.
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Telephone | 914-231-6541
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 198606
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License Number State | NY
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