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General NPI Number Information
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NPI Number | 1932398989
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Entity Type | Individual
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Provider Name | SUBIR S LABANA M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/16/2007
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Last Update Date | 01/24/2019
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Provider Practice Location Address
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Address Line | 8900 VAN WYCK EXPY
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City | JAMAICA
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State | NY
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Zip | 11418-2832
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Country | US
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Telephone | 718-206-6768
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Fax | 718-206-6651
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Provider Business Mailing Address
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Address Line | 80 MARCUS DR
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City | MELVILLE
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State | NY
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Zip | 11747-4230
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Country | US
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Telephone | 631-391-8366
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Fax | 631-454-4163
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 248331
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35.094356
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | TRN11763
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 01075123A
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License Number State | IN
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