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General NPI Number Information
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NPI Number | 1417156423
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Entity Type | Organization
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Legal Business Name | IRVING G. KROOP,M.D.
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 07/11/2007
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Provider Practice Location Address
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Address Line | 10 PLAZA ST E 1G
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City | BROOKLYN
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State | NY
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Zip | 11238-4954
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Country | US
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Telephone | 718-638-9305
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Fax |
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Provider Business Mailing Address
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Address Line | 10 PLAZA ST. 1G
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City | BROOKLYN
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State | NY
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Zip | 11238
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. IRVING G. KROOP
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Credential | M.D.
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Telephone | 718-638-9305
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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