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General NPI Number Information
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NPI Number | 1205160074
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Entity Type | Organization
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Legal Business Name | BROOKLYN WOMEN'S PAVILLLION OB/GYN, PLLC.
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Dates
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Enumeration Date | 09/28/2009
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Last Update Date | 09/28/2009
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Provider Practice Location Address
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Address Line | 44 COURT ST SUITE 322
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City | BROOKLYN
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State | NY
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Zip | 11201-4405
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Country | US
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Telephone | 718-222-0123
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Fax | 718-222-1039
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Provider Business Mailing Address
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Address Line | 44 COURT ST SUITE 322
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City | BROOKLYN
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State | NY
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Zip | 11201-4405
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Country | US
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Telephone | 718-222-0123
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Fax | 718-222-1039
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. MAHENDRANAUTH SOHAN
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Credential | M.D.
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Telephone | 718-222-0123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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