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General NPI Number Information
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NPI Number | 1326229022
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Entity Type | Organization
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Legal Business Name | ASJS MEDICAL, PLLC
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Dates
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Enumeration Date | 11/21/2007
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Last Update Date | 12/03/2019
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Provider Practice Location Address
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Address Line | 1110 PENNSYLVANIA AVE # SF.5
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City | BROOKLYN
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State | NY
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Zip | 11207-9003
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Country | US
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Telephone | 718-272-2272
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Fax | 718-272-2273
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Provider Business Mailing Address
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Address Line | 1110 PENNSYLVANIA AVE # SF-5
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City | BROOKLYN
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State | NY
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Zip | 11207-9003
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Country | US
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Telephone | 718-272-2272
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Fax | 718-272-2273
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JASON SHEVETZ
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Credential | MD
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Telephone | 646-942-2842
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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