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General NPI Number Information
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NPI Number | 1902305022
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Entity Type | Individual
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Provider Name | MR. SHMUEL BATUROV
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Gender | Male
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Dates
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Enumeration Date | 02/04/2018
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Last Update Date | 02/04/2018
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Provider Practice Location Address
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Address Line | 55 W 47TH ST STE 430
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City | NEW YORK
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State | NY
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Zip | 10036-2852
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Country | US
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Telephone | 929-278-3469
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Fax | 212-278-8226
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Provider Business Mailing Address
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Address Line | 55 W 47TH ST STE 430
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City | NEW YORK
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State | NY
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Zip | 10036-2852
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Country | US
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Telephone | 929-278-3469
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Fax | 212-278-8226
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 2060600-DCA
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License Number State | NY
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