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General NPI Number Information
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NPI Number | 1922637198
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Entity Type | Organization
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Legal Business Name | HEALTH QUEST MEDICAL PRACTICE, PC
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Dates
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Enumeration Date | 04/08/2020
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Last Update Date | 04/08/2020
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Provider Practice Location Address
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Address Line | 4068 ALBANY POST RD
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City | HYDE PARK
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State | NY
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Zip | 12538-3900
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Country | US
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Telephone | 845-483-6920
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Fax | 845-483-6922
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Provider Business Mailing Address
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Address Line | 1351 ROUTE 55 STE 200
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City | LAGRANGEVILLE
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State | NY
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Zip | 12540-5128
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Country | US
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Telephone | 845-475-9661
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Fax | 845-475-9938
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Authorized Official
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Title or Position | VP FINANCE
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Name | JOHN BERZINSKY
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Credential |
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Telephone | 845-475-9661
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number |
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License Number State |
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