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General NPI Number Information
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NPI Number | 1295772424
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Entity Type | Organization
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Legal Business Name | VOORHIES NEPHROLOGY MEDICAL PC
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 12/06/2012
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Provider Practice Location Address
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Address Line | 1309 AVENUE P
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City | BROOKLYN
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State | NY
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Zip | 11229-1164
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Country | US
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Telephone | 718-648-2162
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Fax | 718-645-1148
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Provider Business Mailing Address
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Address Line | 150 EAST 61 STREET APT 16 B
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City | NEW YORK
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State | NY
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Zip | 10065
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Country | US
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Telephone | 718-648-2162
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ZACHARY ZINOVY BRENER
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Credential | M.D.,
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Telephone | 718-648-2162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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