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General NPI Number Information
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NPI Number | 1952392763
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Entity Type | Organization
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Legal Business Name | UNIMED HEALTH CARE PC
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Dates
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Enumeration Date | 11/01/2005
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Last Update Date | 07/01/2009
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Provider Practice Location Address
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Address Line | 150 BROADWAY SUITE 714
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City | NEW YORK
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State | NY
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Zip | 10038-4381
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Country | US
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Telephone | 212-964-5555
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Fax | 212-964-0474
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Provider Business Mailing Address
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Address Line | 150 BROADWAY SUITE 714
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City | NEW YORK
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State | NY
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Zip | 10038-4381
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Country | US
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Telephone | 212-964-5555
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Fax | 212-964-0474
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Authorized Official
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Title or Position | PRESIDENT
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Name | MIKHAIL FUKS
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Credential | MD
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Telephone | 212-964-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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