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General NPI Number Information
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NPI Number | 1891879847
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Entity Type | Organization
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Legal Business Name | PEDIATRICS 2000 III PLLC
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 10/10/2007
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Provider Practice Location Address
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Address Line | 135 HAVEN AVE
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City | NEW YORK
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State | NY
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Zip | 10032-1131
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Country | US
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Telephone | 212-923-5500
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Fax | 212-795-6529
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Provider Business Mailing Address
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Address Line | 135 HAVEN AVE
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City | NEW YORK
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State | NY
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Zip | 10032-1131
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Country | US
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Telephone | 212-923-5500
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Fax | 212-795-6529
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Authorized Official
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Title or Position | PEDIATRICIAN
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Name | DR. MARINO A TORRES
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Credential | MD
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Telephone | 212-923-5500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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