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General NPI Number Information
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NPI Number | 1184191157
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Entity Type | Organization
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Legal Business Name | BRASSAI INC
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Dates
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Enumeration Date | 10/29/2018
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Last Update Date | 02/20/2020
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Provider Practice Location Address
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Address Line | 10060 COUNTY RD STE C
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City | CLARENCE CENTER
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State | NY
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Zip | 14032-9178
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Country | US
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Telephone | 716-545-3780
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Fax | 716-406-9303
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Provider Business Mailing Address
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Address Line | 10060 COUNTY RD STE C
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City | CLARENCE CENTER
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State | NY
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Zip | 14032-9178
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Country | US
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Telephone | 716-545-3780
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Fax | 716-406-9303
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Authorized Official
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Title or Position | PRESIDENT
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Name | MIKHAIL YUZBASHEV
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Credential |
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Telephone | 716-545-3780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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