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General NPI Number Information
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NPI Number | 1831312347
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Entity Type | Organization
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Legal Business Name | JILL A BRESSLER MD LLC
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 05/14/2018
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Provider Practice Location Address
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Address Line | 575 UNDERHILL BLVD SUITE 128
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City | SYOSSET
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State | NY
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Zip | 11791
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Country | US
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Telephone | 516-364-4484
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Fax | 516-364-4462
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Provider Business Mailing Address
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Address Line | 575 UNDERHILL BLVD SUITE 128
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City | SYOSSET
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State | NY
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Zip | 11791-3426
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Country | US
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Telephone | 516-364-4484
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Fax | 516-364-4462
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JILL ANNE BRESSLER
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Credential | M.D.
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Telephone | 516-364-4484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 197753
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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 | 197753
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License Number State | NY
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