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General NPI Number Information
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NPI Number | 1902917081
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Entity Type | Organization
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Legal Business Name | WHITE PLAINS PERINATOLOGY
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 06/27/2008
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Provider Practice Location Address
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Address Line | DAVIS AVE AT E POST RD
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City | WHITE PLAINS
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State | NY
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Zip | 10601-4615
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Country | US
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Telephone | 914-681-2164
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Fax |
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Provider Business Mailing Address
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Address Line | DAVIS AVE AT E POST RD
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City | WHITE PLAINS
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State | NY
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Zip | 10601-4615
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Country | US
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Telephone | 914-681-2164
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Fax |
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Authorized Official
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Title or Position | CHIEF
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Name | DR. KEITH B LESCALE
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Credential | MD
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Telephone | 914-681-2164
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 186070
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License Number State | NY
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