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General NPI Number Information
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NPI Number | 1275880973
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Entity Type | Organization
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Legal Business Name | NOSTRAND AMBULATORY SERVICES, LLC
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Dates
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Enumeration Date | 08/13/2012
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Last Update Date | 08/13/2012
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Provider Practice Location Address
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Address Line | 3500 NOSTRAND AVE
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City | BROOKLYN
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State | NY
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Zip | 11229-5107
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Country | US
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Telephone | 718-667-3577
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Fax | 718-667-3043
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Provider Business Mailing Address
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Address Line | 1534 VICTORY BLVD
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City | STATEN ISLAND
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State | NY
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Zip | 10314-3548
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Country | US
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Telephone | 718-667-3577
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Fax | 718-667-3043
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Authorized Official
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Title or Position | OWNER
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Name | KENNETH B CHAPMAN
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Credential | M.D.
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Telephone | 718-667-3577
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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 |
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License Number State |
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