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General NPI Number Information
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NPI Number | 1275737686
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Entity Type | Organization
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Legal Business Name | KINGS HIGHWAY BEST MEDICAL PC
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 10/23/2007
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Provider Practice Location Address
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Address Line | 1421 CARROLL ST
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City | BROOKLYN
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State | NY
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Zip | 11213-4449
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Country | US
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Telephone | 347-627-9107
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Fax | 341-405-9108
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Provider Business Mailing Address
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Address Line | 127 JAFFREY ST
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City | BROOKLYN
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State | NY
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Zip | 11235-3022
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Country | US
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Telephone | 718-382-8282
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Fax | 718-946-7964
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Authorized Official
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Title or Position | PRESIDENT
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Name | OLGA TSEYKO
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Credential | MD
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Telephone | 917-873-7466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 221645
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License Number State | NY
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