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General NPI Number Information
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NPI Number | 1881798197
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Entity Type | Organization
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Legal Business Name | UROLOGICAL FACULTY ASSOCIATES PC
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Dates
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Enumeration Date | 09/08/2006
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Last Update Date | 05/01/2013
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Provider Practice Location Address
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Address Line | 19 BRADHURST AVE STE 1900
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City | HAWTHORNE
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State | NY
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Zip | 10532-2140
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Country | US
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Telephone | 914-347-1900
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Fax | 914-347-1959
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Provider Business Mailing Address
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Address Line | PO BOX 9192
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City | UNIONDALE
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State | NY
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Zip | 11555-9192
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Country | US
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Telephone | 914-347-1900
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Fax | 914-347-1959
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Authorized Official
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Title or Position | PRESIDENT OF PC
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Name | MAJID ESHGHI
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Credential | MD
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Telephone | 914-347-1900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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