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An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist |
174400000X | |||
Preferred Provider Organization |
305R00000X |
| NPI Number | 1962691428 |
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| LBN Legal business name | EAST BANK INTERNAL MEDICINE LLC | ||||||||
| Authorized official | ROBERT SONGY - (OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 10/22/2007 | ||||||||
| Last updated | 10/26/2007 - About 19 years ago | ||||||||
| Identifiers |
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EAST BANK INTERNAL MEDICINE LLC