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General NPI Number Information
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NPI Number | 1427264514
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Entity Type | Organization
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Legal Business Name | ROBERT L. BROSTOWIN DC PC
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 7150 AUSTIN ST STE 102
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City | FOREST HILLS
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State | NY
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Zip | 11375-4731
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Country | US
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Telephone | 718-261-6705
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Fax | 718-261-6707
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Provider Business Mailing Address
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Address Line | 7150 AUSTIN ST STE 102
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City | FOREST HILLS
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State | NY
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Zip | 11375-4731
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Country | US
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Telephone | 718-261-6705
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Fax | 718-261-6707
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT L BROSTOWIN
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Credential | DC PC
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Telephone | 718-261-6705
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN0400X
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Taxonomy Name | Neurology Chiropractor
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License Number | X006335-1
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License Number State | NY
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