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General NPI Number Information
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NPI Number | 1841519824
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Entity Type | Organization
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Legal Business Name | ROYAL CARE MEDICAL CENTER INC
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Dates
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Enumeration Date | 05/30/2010
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Last Update Date | 05/30/2010
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Provider Practice Location Address
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Address Line | 8 E 41ST ST
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City | NEW YORK
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State | NY
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Zip | 10017-6256
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Country | US
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Telephone | 315-664-9283
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Fax |
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Provider Business Mailing Address
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Address Line | 8 E 41ST ST
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City | NEW YORK
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State | NY
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Zip | 10017-6256
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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 | CEO
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Name | DAVID J BERCK
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Credential |
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Telephone | 315-664-9283
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 202313
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License Number State | NY
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