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NPI 1851418933

NPI 1851418933 : ANGIE MAN-CHI ENG,MD,PC : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1851418933
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    Entity Type          |    Organization 
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    Legal Business Name  |    ANGIE MAN-CHI ENG,MD,PC 
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Dates
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    Enumeration Date     |    03/23/2007
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    Last Update Date     |    12/13/2007
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Provider Practice Location Address
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    Address Line         |    635 MADISON AVE 17TH FLOOR
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10022-1009
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    Country              |    US
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    Telephone            |    212-717-4964
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    Fax                  |    212-717-4970
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Provider Business Mailing Address
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    Address Line         |    635 MADISON AVE 17TH FLOOR
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10022-1009
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    Country              |    US
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    Telephone            |    212-717-4964
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    Fax                  |    212-717-4970
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Authorized Official
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    Title or Position    |    MEDICAL OFFICE MANAGER
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    Name                 |    MRS. DAWN ELLEN CAFER 
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    Credential           |    
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    Telephone            |    212-717-4964
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RG0100X
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    Taxonomy Name        |    Gastroenterology Physician
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    License Number       |    170925
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    License Number State |    NY
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