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General NPI Number Information
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NPI Number | 1962592840
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Entity Type | Organization
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Legal Business Name | SPECS FOR LESS
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3245 RICHMOND AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10312-2123
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Country | US
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Telephone | 718-605-4102
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Fax | 718-605-4109
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Provider Business Mailing Address
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Address Line | 3245 RICHMOND AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10312-2123
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Country | US
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Telephone | 718-605-4102
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Fax | 718-605-4109
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEFFREY L KIRSCH
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Credential |
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Telephone | 718-605-4102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156F00000X
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Taxonomy Name | Technician/Technologist
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License Number | 4792
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License Number State | NY
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