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General NPI Number Information
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NPI Number | 1346493962
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Entity Type | Organization
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Legal Business Name | BRIGGS FAMILY PEDIATRICS, PC
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Dates
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Enumeration Date | 10/28/2008
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Last Update Date | 10/28/2008
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Provider Practice Location Address
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Address Line | 2844 BRIGGS AVE
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City | BRONX
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State | NY
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Zip | 10458-3302
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Country | US
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Telephone | 718-220-6272
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Fax | 718-220-6270
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Provider Business Mailing Address
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Address Line | 2844 BRIGGS AVE
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City | BRONX
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State | NY
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Zip | 10458-3302
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Country | US
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Telephone | 718-220-6272
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Fax | 718-220-6270
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. ANGEL L AQUINO
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Credential |
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Telephone | 718-220-6272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | 212539-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 212539-1
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License Number State | NY
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