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General NPI Number Information
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NPI Number | 1871039537
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Entity Type | Organization
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Legal Business Name | UNITED PHYSICIANS, PLLC
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Dates
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Enumeration Date | 01/18/2017
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Last Update Date | 01/18/2017
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Provider Practice Location Address
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Address Line | 1049 5TH AVE
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City | NEW YORK
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State | NY
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Zip | 10028-0115
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Country | US
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Telephone | 212-583-9701
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Fax | 212-583-9709
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Provider Business Mailing Address
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Address Line | 211 E 53RD ST SUITE 3K
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City | NEW YORK
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State | NY
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Zip | 10022-4803
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Country | US
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Telephone | 212-583-9701
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Fax | 212-583-9709
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Authorized Official
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Title or Position | MANAGER
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Name | YELENA AMIGUD
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Credential |
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Telephone | 212-583-9701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 200459
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License Number State | NY
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