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General NPI Number Information
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NPI Number | 1326057993
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Entity Type | Organization
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Legal Business Name | H.Q.C. MEDICAL P.C.
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 11/29/2010
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Provider Practice Location Address
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Address Line | 3065 BRIGHTON 14TH ST
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City | BROOKLYN
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State | NY
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Zip | 11235-5501
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Country | US
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Telephone | 718-368-3889
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Fax | 718-368-2226
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Provider Business Mailing Address
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Address Line | 3065 BRIGHTON 14TH ST
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City | BROOKLYN
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State | NY
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Zip | 11235-5501
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Country | US
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Telephone | 718-368-3889
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Fax | 718-368-2226
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DINA LIBERMAN
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Credential | M.D.
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Telephone | 718-368-3889
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number |
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License Number State |
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