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General NPI Number Information
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NPI Number | 1821837543
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Entity Type | Organization
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Legal Business Name | BIG APPLE MEDICAL PROVIDERS, PLLC
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Dates
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Enumeration Date | 05/22/2024
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Last Update Date | 05/22/2024
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Provider Practice Location Address
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Address Line | 14 WALL ST
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City | NEW YORK
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State | NY
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Zip | 10005-2101
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Country | US
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Telephone | 646-216-6222
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Fax |
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Provider Business Mailing Address
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Address Line | 14 WALL ST
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City | NEW YORK
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State | NY
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Zip | 10005-2101
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DEPUTY SECRETARY OF STATE
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Name | MR. GRIGORIY ARUTYUNYAN
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Credential |
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Telephone | 646-916-0112
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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 |
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License Number State |
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