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General NPI Number Information
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NPI Number | 1992952188
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Entity Type | Organization
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Legal Business Name | ALMONTE MEDICAL PC
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Dates
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Enumeration Date | 08/19/2008
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Last Update Date | 08/03/2013
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Provider Practice Location Address
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Address Line | 8716 96TH ST
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City | WOODHAVEN
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State | NY
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Zip | 11421-2217
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Country | US
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Telephone | 718-323-3919
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Fax | 718-323-3918
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Provider Business Mailing Address
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Address Line | 8501 110TH ST
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City | RICHMOND HILL
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State | NY
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Zip | 11418-1245
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Country | US
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Telephone | 718-323-3919
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Fax | 718-323-3918
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LUIS ALMONTE
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Credential | MD
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Telephone | 718-323-3919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 217647
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License Number State | NY
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