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General NPI Number Information
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NPI Number | 1063898096
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Entity Type | Organization
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Legal Business Name | BROOKLYN URGENT CARE PLLC
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Dates
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Enumeration Date | 07/31/2015
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Last Update Date | 12/06/2022
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Provider Practice Location Address
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Address Line | 875 UTICA AVE
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City | BROOKLYN
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State | NY
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Zip | 11203-4313
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Country | US
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Telephone | 973-929-7600
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Fax |
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Provider Business Mailing Address
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Address Line | 100 CHALLENGER RD
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City | RIDGEFIELD PARK
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State | NJ
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Zip | 07660-2108
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LAZER LEIFER
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Credential | MD
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Telephone | 973-929-7600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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