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General NPI Number Information
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NPI Number | 1154976876
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Entity Type | Organization
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Legal Business Name | BN MEDICINE PC
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Dates
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Enumeration Date | 08/08/2019
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Last Update Date | 11/08/2023
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Provider Practice Location Address
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Address Line | 752 SAINT NICHOLAS AVE
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City | NEW YORK
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State | NY
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Zip | 10031-4002
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Country | US
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Telephone | 212-206-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 4403 15TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11219-1604
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Country | US
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Telephone | 212-206-8000
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Fax | 718-414-1105
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | ASHLEY TERRONE
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Credential |
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Telephone | 929-564-8160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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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 | 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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