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General NPI Number Information
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NPI Number | 1093241077
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Entity Type | Organization
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Legal Business Name | BROOKLYN CARDIOVASCULAR CARE, PLLC
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 9201 4TH AVE 501
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City | BROOKLYN
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State | NY
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Zip | 11209-7065
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Country | US
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Telephone | 718-238-2980
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Fax | 718-238-2558
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Provider Business Mailing Address
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Address Line | 9201 4TH AVE 501
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City | BROOKLYN
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State | NY
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Zip | 11209-7065
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Country | US
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Telephone | 718-238-2980
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Fax | 718-238-2558
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Authorized Official
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Title or Position | OWNER
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Name | DR. LEE ELLIOT LOEWINGER
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Credential | M.D.
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Telephone | 718-238-2980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 242457
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License Number State | NY
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