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General NPI Number Information
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NPI Number | 1992971469
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Entity Type | Individual
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Provider Name | GENE SANKIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/05/2008
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Last Update Date | 06/02/2021
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Provider Practice Location Address
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Address Line | 82 ADMIRALTY LOOP
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City | STATEN ISLAND
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State | NY
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Zip | 10309-3961
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Country | US
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Telephone | 917-704-7152
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Fax |
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Provider Business Mailing Address
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Address Line | 311 NEWARK AVE
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City | JERSEY CITY
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State | NJ
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Zip | 07302-2347
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Country | US
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Telephone | 201-533-0055
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 25MA09607200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207RS0010X
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Taxonomy Name | Sports Medicine (Internal Medicine) Physician
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License Number | 25MA09607200
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License Number State | NJ
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