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General NPI Number Information
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NPI Number | 1124322201
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Entity Type | Organization
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Legal Business Name | FLATLANDS MEDICAL ASSOCIATES, PLLC
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Dates
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Enumeration Date | 01/04/2011
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Last Update Date | 10/10/2019
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Provider Practice Location Address
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Address Line | 3839 FLATLANDS AVE SUITE 100
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City | BROOKLYN
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State | NY
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Zip | 11234-3533
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Country | US
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Telephone | 718-338-5024
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Fax | 718-338-5029
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Provider Business Mailing Address
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Address Line | 3839 FLATLANDS AVE SUITE 100
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City | BROOKLYN
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State | NY
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Zip | 11234-3533
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Country | US
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Telephone | 718-338-5024
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Fax | 718-338-5029
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | DR. MORO SALIFU
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Credential | MD
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Telephone | 718-338-5024
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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