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General NPI Number Information
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NPI Number | 1184901753
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Entity Type | Organization
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Legal Business Name | NEIGHBORHOOD MEDICAL HEALTH CARE PC
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Dates
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Enumeration Date | 11/10/2011
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Last Update Date | 02/13/2012
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Provider Practice Location Address
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Address Line | 2421 AVENUE U
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City | BROOKLYN
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State | NY
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Zip | 11229-4905
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Country | US
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Telephone | 718-616-1966
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Fax |
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Provider Business Mailing Address
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Address Line | 2421 AVENUE U
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City | BROOKLYN
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State | NY
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Zip | 11229-4905
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Country | US
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Telephone | 718-616-1966
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. DANNY XAVIER RODRIGUEZ
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Credential | M.D.
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Telephone | 718-616-1966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 242152
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License Number State | NY
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