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General NPI Number Information
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NPI Number | 1093892267
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Entity Type | Individual
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Provider Name | BROCHA FAYGE KAGAN PA
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 06/30/2022
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Provider Practice Location Address
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Address Line | 506 6TH ST NEW YORK METHODIST HOSPITAL
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City | BROOKLYN
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State | NY
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Zip | 11215-3609
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Country | US
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Telephone | 718-780-3159
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Fax | 718-780-7380
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Provider Business Mailing Address
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Address Line | 202 CATON AVE
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City | BROOKLYN
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State | NY
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Zip | 11218-1617
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Country | US
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Telephone | 718-215-8650
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Fax | 718-780-7380
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 010454
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License Number State | NY
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