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General NPI Number Information
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NPI Number | 1871860411
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Entity Type | Organization
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Legal Business Name | HARVEY J MANDEL MD PC
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Dates
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Enumeration Date | 11/28/2011
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Last Update Date | 11/28/2011
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Provider Practice Location Address
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Address Line | 612 ALLERTON AVE
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City | BRONX
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State | NY
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Zip | 10467-7404
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Country | US
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Telephone | 718-796-6778
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Fax | 718-549-0217
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Provider Business Mailing Address
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Address Line | 4701 DELAFIELD AVE
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City | BRONX
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State | NY
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Zip | 10471-3311
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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 | PRESIDENT
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Name | HARVEY J HARVEY
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Credential | M.D.
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Telephone | 718-796-6778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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