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General NPI Number Information
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NPI Number | 1831235241
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Entity Type | Individual
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Provider Name | DAN MUSCHEVICI MD
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Gender | Male
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | OLMMC, DEPT. OF PSYCHIATRY 600 EAST 233RD ST.
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City | BRONX
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State | NY
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Zip | 10466
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Country | US
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Telephone | 718-920-9826
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Fax | 718-920-9217
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Provider Business Mailing Address
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Address Line | 630 W 246TH ST APT. 1521
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City | BRONX
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State | NY
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Zip | 10471-3631
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Country | US
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Telephone | 646-330-7942
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Fax |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 224701
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License Number State | NY
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