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General NPI Number Information
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NPI Number | 1316102445
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Entity Type | Organization
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Legal Business Name | ALEXANDR ABRAMOV MEDICAL PC
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Dates
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Enumeration Date | 07/29/2008
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Last Update Date | 01/08/2020
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Provider Practice Location Address
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Address Line | 8746 20TH AVE FL 3
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City | BROOKLYN
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State | NY
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Zip | 11214-4802
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Country | US
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Telephone | 718-234-9191
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Fax | 718-234-8591
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Provider Business Mailing Address
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Address Line | 8746 20TH AVE FL 3
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City | BROOKLYN
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State | NY
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Zip | 11214-4802
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Country | US
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Telephone | 718-234-9191
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Fax | 718-234-8591
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Authorized Official
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Title or Position | ADMINISTRATIVE ASSISTANT
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Name | MS. OLEKSANDRA KOVAL
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Credential |
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Telephone | 718-234-9191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 203972
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License Number State | NY
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