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General NPI Number Information
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NPI Number | 1851914246
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Entity Type | Organization
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Legal Business Name | BARUCH MEDICAL, PLLC
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Dates
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Enumeration Date | 05/20/2020
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Last Update Date | 12/21/2021
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Provider Practice Location Address
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Address Line | 1 W 34TH ST # 402A
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City | NEW YORK
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State | NY
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Zip | 10001-3011
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Country | US
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Telephone | 646-725-4600
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Fax |
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Provider Business Mailing Address
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Address Line | 1 W 34TH ST # 402A
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City | NEW YORK
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State | NY
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Zip | 10001-3011
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Country | US
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Telephone | 646-725-4600
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | BARUCH KIM
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Credential | DO
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Telephone | 917-362-3687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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