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General NPI Number Information
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NPI Number | 1073069670
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Entity Type | Organization
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Legal Business Name | PRECISION CARE MEDICAL PC
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 10/30/2019
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Provider Practice Location Address
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Address Line | 2781 SHELL RD STE 101
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City | BROOKLYN
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State | NY
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Zip | 11223-6142
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Country | US
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Telephone | 718-648-1234
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Fax | 718-648-1239
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Provider Business Mailing Address
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Address Line | 2781 SHELL RD STE 101
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City | BROOKLYN
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State | NY
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Zip | 11223-6142
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Country | US
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Telephone | 718-648-1234
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Fax | 718-648-1239
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Authorized Official
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Title or Position | MD
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Name | VADIM ZARUBIN
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Credential |
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Telephone | 718-648-1234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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