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General NPI Number Information
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NPI Number | 1427507771
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Entity Type | Organization
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Legal Business Name | NORTHERN MEDICAL HOUSE CALLS PLLC
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Dates
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Enumeration Date | 09/28/2016
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Last Update Date | 11/16/2016
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Provider Practice Location Address
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Address Line | 6010 BAY PKWY SUITE 903
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City | BROOKLYN
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State | NY
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Zip | 11204-6079
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Country | US
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Telephone | 718-309-3321
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Fax |
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Provider Business Mailing Address
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Address Line | 6010 BAY PKWY SUITE 903
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City | BROOKLYN
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State | NY
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Zip | 11204-6079
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Country | US
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Telephone | 646-699-1322
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Fax |
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Authorized Official
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Title or Position | CEO/SOLE PROPRIETOR
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Name | DR. PAUL ROSENSTOCK
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Credential | M.D
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Telephone | 646-699-1322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 152WX0102X
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Taxonomy Name | Occupational Vision Optometrist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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