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General NPI Number Information
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NPI Number | 1992023691
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Entity Type | Organization
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Legal Business Name | MEDICAL CARE AT HOME, PC
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Dates
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Enumeration Date | 05/06/2010
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Last Update Date | 05/06/2010
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Provider Practice Location Address
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Address Line | 61-10 QUEENS BOULEVARD 2ND FLOOR
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City | WOODSIDE
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State | NY
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Zip | 11377-5771
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Country | US
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Telephone | 718-397-2002
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Fax | 646-524-8323
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Provider Business Mailing Address
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Address Line | 61-10 QUEENS BOULEVARD 2ND FLOOR
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City | WOODSIDE
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State | NY
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Zip | 11377-5771
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Country | US
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Telephone | 718-397-2002
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Fax | 646-524-8323
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN WEBSTER CHRISTIANSON
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Credential | D.O.
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Telephone | 718-397-2002
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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 |
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License Number State |
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