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General NPI Number Information
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NPI Number | 1821321381
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Entity Type | Organization
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Legal Business Name | TEN'S MEDICAL P.C
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Dates
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Enumeration Date | 09/15/2009
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Last Update Date | 09/15/2009
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Provider Practice Location Address
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Address Line | 105 BENTON AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10305-2422
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Country | US
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Telephone | 646-825-1353
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Fax | 718-748-4203
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Provider Business Mailing Address
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Address Line | 105 BENTON AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10305-2422
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Country | US
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Telephone | 646-825-1353
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Fax | 718-748-4203
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Authorized Official
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Title or Position | PEDIATRIC ENDOCRINE
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Name | DR. SVETLANA TEN
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Credential | M.D.,
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Telephone | 646-825-1353
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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 | 02350558
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License Number State | NY
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