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General NPI Number Information
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NPI Number | 1386783132
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Entity Type | Individual
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Provider Name | IRINE CORST MD
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Gender | Female
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 06/12/2018
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Provider Practice Location Address
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Address Line | 8405 BAY PKWY
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City | BROOKLYN
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State | NY
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Zip | 11214
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Country | US
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Telephone | 718-621-1800
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Fax | 718-621-1365
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Provider Business Mailing Address
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Address Line | 950 70TH ST APT.3A
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City | BROOKLYN
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State | NY
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Zip | 11228-1100
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Country | US
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Telephone | 718-621-1800
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Fax | 718-621-1365
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 214541
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 214541
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License Number State | NY
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