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General NPI Number Information
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NPI Number | 1861447864
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Entity Type | Organization
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Legal Business Name | OUR CHOICE MEDICAL, P.C.
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 03/01/2010
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Provider Practice Location Address
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Address Line | 9932 66TH RD LOBBY P
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City | REGO PARK
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State | NY
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Zip | 11374-4462
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Country | US
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Telephone | 718-896-4701
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Fax | 718-896-5808
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Provider Business Mailing Address
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Address Line | 9932 66TH RD LOBBY P
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City | REGO PARK
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State | NY
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Zip | 11374-4462
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Country | US
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Telephone | 718-896-4701
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Fax | 718-896-5808
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | JOSEPH B BERNSTEIN
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Credential | M.D.
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Telephone | 718-896-4701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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