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General NPI Number Information
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NPI Number | 1225492150
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Entity Type | Organization
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Legal Business Name | ST. FRANCIS HEATHCARE MEDICAL, P.C.
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Dates
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Enumeration Date | 04/06/2016
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Last Update Date | 04/06/2016
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Provider Practice Location Address
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Address Line | 749 OCEAN PKWY
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City | BROOKLYN
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State | NY
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Zip | 11230-7813
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Country | US
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Telephone | 862-591-8189
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Fax |
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Provider Business Mailing Address
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Address Line | 749 OCEAN PKWY
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City | BROOKLYN
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State | NY
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Zip | 11230-7813
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. DENNY RODRIGUEZ
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Credential | M.D.
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Telephone | 862-591-8189
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | 242152
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License Number State | NY
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