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General NPI Number Information
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NPI Number | 1982682563
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Entity Type | Individual
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Provider Name | MICHAEL S. RADIN MD
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Gender | Male
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Dates
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Enumeration Date | 01/04/2006
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Last Update Date | 11/11/2014
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Provider Practice Location Address
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Address Line | 1300 FRANKLIN AVE SUITE ML-6
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City | GARDEN CITY
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State | NY
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Zip | 11530-1886
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Country | US
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Telephone | 516-663-3511
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Fax | 516-663-4780
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Provider Business Mailing Address
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Address Line | 1300 FRANKLIN AVE SUITE ML-6
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City | GARDEN CITY
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State | NY
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Zip | 11530-1886
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Country | US
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Telephone | 516-663-3511
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Fax | 516-663-4780
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 256359
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License Number State | CT
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