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General NPI Number Information
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NPI Number | 1922272202
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Entity Type | Organization
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Legal Business Name | LYUDMILA KATS MEDICAL CARE PC
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Dates
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Enumeration Date | 04/17/2008
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Last Update Date | 09/08/2008
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Provider Practice Location Address
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Address Line | 1ST AVE 16TH STREET
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City | NEW YORK
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State | NY
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Zip | 10003
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Country | US
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Telephone | 212-844-1427
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Fax |
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Provider Business Mailing Address
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Address Line | 1ST AVE AND 16TH STREET
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City | NEW YORK
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State | NY
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Zip | 10003
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Country | US
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Telephone | 212-844-1427
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETER
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Name | LYUDMILA KATS
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Credential |
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Telephone | 212-844-1427
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 231168
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License Number State | NY
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