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General NPI Number Information
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NPI Number | 1962693119
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Entity Type | Organization
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Legal Business Name | SCOTT JAY RATNER, MD, PC
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 01/20/2012
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Provider Practice Location Address
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Address Line | 407 FRANKLIN AVE
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City | FRANKLIN SQUARE
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State | NY
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Zip | 11010-1227
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Country | US
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Telephone | 516-616-0808
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Fax | 516-616-0993
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Provider Business Mailing Address
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Address Line | 407 FRANKLIN AVE
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City | FRANKLIN SQUARE
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State | NY
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Zip | 11010-1227
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Country | US
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Telephone | 516-616-0808
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Fax | 516-616-0993
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SCOTT JAY RATNER
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Credential | MD
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Telephone | 516-616-0808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 143077
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License Number State | NY
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