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General NPI Number Information
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NPI Number | 1972844322
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Entity Type | Organization
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Legal Business Name | RICHMOND PEDIATRICS, P.C.
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Dates
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Enumeration Date | 03/11/2013
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Last Update Date | 03/11/2013
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Provider Practice Location Address
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Address Line | 2066 RICHMOND AVE 1ST FL
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City | STATEN ISLAND
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State | NY
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Zip | 10314-3916
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Country | US
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Telephone | 718-982-9001
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Fax | 718-982-9008
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Provider Business Mailing Address
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Address Line | 2066 RICHMOND AVE 1ST FL
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City | STATEN ISLAND
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State | NY
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Zip | 10314-3916
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Country | US
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Telephone | 718-982-9001
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Fax | 718-982-9008
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Authorized Official
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Title or Position | MD
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Name | DR. ARTHUR BUONASPINA
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Credential | MD
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Telephone | 718-982-9001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0208X
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Taxonomy Name | Pediatric Infectious Diseases Physician
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License Number | 181489
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 181489
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License Number State | NY
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