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General NPI Number Information
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NPI Number | 1992861652
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Entity Type | Organization
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Legal Business Name | PARK LENOX SURGICAL, PC
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 07/06/2010
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Provider Practice Location Address
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Address Line | 130 E 77TH ST 13 FLOOR
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City | NEW YORK
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State | NY
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Zip | 10075-1851
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Country | US
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Telephone | 212-434-3420
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Fax | 212-434-3410
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Provider Business Mailing Address
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Address Line | 130 E 77TH ST FL 13 BLACK HALL
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City | NEW YORK
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State | NY
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Zip | 10075-1851
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Country | US
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Telephone | 212-434-3420
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Fax | 212-434-3410
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Authorized Official
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Title or Position | DIRECTOR OF BILLING OPERATIONS
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Name | PATRICIA SHEPPARD
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Credential | CPC
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Telephone | 212-434-2727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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