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General NPI Number Information
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NPI Number | 1992933972
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Entity Type | Organization
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Legal Business Name | PAUL EDGARD NACIER, PHYSICIAN, P.C.
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Dates
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Enumeration Date | 06/29/2009
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Last Update Date | 01/06/2017
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Provider Practice Location Address
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Address Line | 124 E 43RD ST SUITE 1
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City | BROOKLYN
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State | NY
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Zip | 11203-3049
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Country | US
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Telephone | 718-940-6166
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Fax | 718-940-4964
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Provider Business Mailing Address
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Address Line | 20 THE DRAWBRIDGE
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City | WOODBURY
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State | NY
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Zip | 11797-1000
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Country | US
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Telephone | 718-940-6166
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Fax | 718-940-4964
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Authorized Official
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Title or Position | SOLE OWNER/PHYSICIAN
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Name | DR. PAUL E NACIER
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Credential | M.D.
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Telephone | 718-940-6166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 144585
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License Number State | NY
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