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General NPI Number Information
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NPI Number | 1326081506
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Entity Type | Organization
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Legal Business Name | JONATHAN M. HIRSCH, MDPC
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 07/23/2012
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Provider Practice Location Address
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Address Line | 2136 OCEAN AVE
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City | BROOKLYN
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State | NY
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Zip | 11229-1406
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Country | US
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Telephone | 718-376-5177
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Fax | 718-376-1525
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Provider Business Mailing Address
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Address Line | 1861 E 22ND ST
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City | BROOKLYN
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State | NY
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Zip | 11229-1526
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Country | US
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Telephone | 718-376-5177
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Fax | 718-376-1525
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JONATHAN MARTIN HIRSCH
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Credential | MD
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Telephone | 718-376-5177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 182827
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License Number State | NY
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