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General NPI Number Information
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NPI Number | 1952415507
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Entity Type | Individual
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Provider Name | JULIUS WINSTON GARVEY M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 04/25/2013
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Provider Practice Location Address
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Address Line | 163 03 HORACE HARDING EXPRESSWAY SUITE L L 3
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City | FRESH MEADOWS
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State | NY
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Zip | 11365
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Country | US
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Telephone | 718-460-3791
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Fax | 718-460-2036
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Provider Business Mailing Address
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Address Line | 2035 LAKEVILLE RD SUITE 300
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-1600
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Country | US
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Telephone | 516-326-3255
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Fax | 718-460-2036
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 107943
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License Number State | NY
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