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General NPI Number Information
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NPI Number | 1215939186
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Entity Type | Organization
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Legal Business Name | ALL CITY FAMILY HEALTHCARE CENTER, INC.
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Dates
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Enumeration Date | 08/11/2005
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Last Update Date | 11/04/2013
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Provider Practice Location Address
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Address Line | 3632 NOSTRAND AVE GROUND FLOOR
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City | BROOKLYN
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State | NY
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Zip | 11229-5303
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Country | US
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Telephone | 718-332-4409
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Fax | 718-332-4472
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Provider Business Mailing Address
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Address Line | 3632 NOSTRAND AVE GROUND FLOOR
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City | BROOKLYN
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State | NY
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Zip | 11229-5303
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Country | US
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Telephone | 718-332-4409
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Fax | 718-332-4472
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. NASSER F HASSAN
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Credential |
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Telephone | 718-332-4409
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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 | 7001285R
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License Number State | NY
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