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General NPI Number Information
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NPI Number | 1942465828
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Entity Type | Organization
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Legal Business Name | AMERICAN MEDICAL PC
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Dates
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Enumeration Date | 07/21/2008
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Last Update Date | 07/21/2008
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Provider Practice Location Address
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Address Line | 928 BROADWAY SUITE 805
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City | NEW YORK
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State | NY
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Zip | 10010-6008
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Country | US
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Telephone | 212-529-4900
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Fax |
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Provider Business Mailing Address
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Address Line | 928 BROADWAY SUITE 805
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City | NEW YORK
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State | NY
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Zip | 10010-6008
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. RONNY CHADI
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Credential | MD
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Telephone | 212-529-4900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 185414
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License Number State | NY
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