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General NPI Number Information
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NPI Number | 1992110357
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Entity Type | Organization
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Legal Business Name | LENOX HILL TMS PSYCHIATRIC ASSOCIATES PC
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Dates
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Enumeration Date | 06/24/2014
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Last Update Date | 10/17/2016
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Provider Practice Location Address
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Address Line | 2000 VAN NESS AVE SUITE 405
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-3023
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Country | US
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Telephone | 415-567-6704
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Fax | 415-567-6707
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Provider Business Mailing Address
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Address Line | 2000 VAN NESS AVE SUITE 405
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-3023
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Country | US
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Telephone | 415-567-6704
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Fax | 415-567-6707
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. ROBERTO ESTRADA
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Credential | MD
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Telephone | 415-567-6704
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | C54181
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License Number State | CA
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