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General NPI Number Information
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NPI Number | 1396052858
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Entity Type | Organization
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Legal Business Name | RAPID MEDICAL CARE
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Dates
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Enumeration Date | 09/06/2010
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Last Update Date | 09/06/2010
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Provider Practice Location Address
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Address Line | 446 MCDONALD AVE
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City | BROOKLYN
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State | NY
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Zip | 11218-2212
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Country | US
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Telephone | 718-854-0500
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Fax | 718-854-0501
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Provider Business Mailing Address
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Address Line | 446 MCDONALD AVE
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City | BROOKLYN
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State | NY
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Zip | 11218-2212
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Country | US
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Telephone | 718-854-0500
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Fax | 718-854-0501
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Authorized Official
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Title or Position | MD
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Name | JACK FATIHA
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Credential | MD
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Telephone | 718-854-0500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 229099
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License Number State | NY
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