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General NPI Number Information
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NPI Number | 1285758771
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Entity Type | Organization
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Legal Business Name | BROOKDALE FAMILY CARE CENTER, INC.
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 465 NEW LOTS AVE
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City | BROOKLYN
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State | NY
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Zip | 11207-6414
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Country | US
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Telephone | 718-240-8950
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Fax |
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Provider Business Mailing Address
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Address Line | 1 BROOKDALE PLZ
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City | BROOKLYN
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State | NY
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Zip | 11212-3198
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Country | US
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Telephone | 718-240-6374
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Fax |
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT
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Name | CHARLES SALVO
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Credential |
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Telephone | 718-240-6374
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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 |
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License Number State |
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