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General NPI Number Information
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NPI Number | 1922093814
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Entity Type | Organization
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Legal Business Name | EPHRAIM M OVITSH MD PC
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Dates
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Enumeration Date | 09/16/2005
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Last Update Date | 12/04/2015
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Provider Practice Location Address
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Address Line | 200 W 20TH ST SUITE 105
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City | NEW YORK
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State | NY
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Zip | 10011-3558
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Country | US
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Telephone | 212-647-8560
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Fax | 212-647-8583
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Provider Business Mailing Address
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Address Line | 1000 E 22ND ST
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City | BROOKLYN
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State | NY
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Zip | 11210-3610
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Country | US
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Telephone | 212-647-8560
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Fax | 212-647-8583
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Authorized Official
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Title or Position | OWNER
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Name | EPHRAIM M OVITSH
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Credential | MD
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Telephone | 212-647-8560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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