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General NPI Number Information
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NPI Number | 1952596280
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Entity Type | Organization
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Legal Business Name | JUAN T. ESTEVEZ MD PC
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 09/10/2007
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Provider Practice Location Address
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Address Line | 375 E FORDHAM RD FL 2
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City | BRONX
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State | NY
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Zip | 10458-5033
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Country | US
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Telephone | 718-584-3826
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Fax | 718-584-7309
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Provider Business Mailing Address
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Address Line | 43 HAYHURST DR
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City | NEW ROCHELLE
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State | NY
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Zip | 10804-2001
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Country | US
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Telephone | 914-235-8997
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JUAN T ESTEVEZ
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Credential | M.D.
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Telephone | 914-310-3418
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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 | 199868
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License Number State | NY
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