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General NPI Number Information
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NPI Number | 1942432893
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Entity Type | Organization
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Legal Business Name | SOUTHERN WESTCHESTER PEDIATRICS
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Dates
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Enumeration Date | 08/11/2009
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Last Update Date | 08/11/2009
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Provider Practice Location Address
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Address Line | 105 STEVENS AVE 106
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City | MOUNT VERNON
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State | NY
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Zip | 10550-2686
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Country | US
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Telephone | 914-667-3030
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Fax | 914-667-1977
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Provider Business Mailing Address
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Address Line | 105 STEVENS AVE 106
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City | MOUNT VERNON
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State | NY
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Zip | 10550-2686
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Country | US
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Telephone | 914-667-3030
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Fax | 914-667-1977
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Authorized Official
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Title or Position | PEDIATRICIAN
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Name | SAMI ELIAS SAYEGH
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Credential | M.D.
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Telephone | 914-667-3030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 191988
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License Number State | NY
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