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General NPI Number Information
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NPI Number | 1972611614
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Entity Type | Individual
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Provider Name | AVNER REGGEV M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 01/30/2024
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Provider Practice Location Address
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Address Line | 280 N. CETRAL AVE, #310A
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City | HARTSDALE
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State | NY
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Zip | 10530
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Country | US
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Telephone | 914-285-1721
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Fax | 914-285-1722
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Provider Business Mailing Address
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Address Line | 25 WODDLAND PLACE
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City | SCARSDALE
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State | NY
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Zip | 10583
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Country | US
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Telephone | 914-472-6365
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 131178
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD27723
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License Number State | ME
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