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General NPI Number Information
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NPI Number | 1457588295
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Entity Type | Organization
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Legal Business Name | D & A MEDICAL CARE PLLC
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Dates
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Enumeration Date | 06/19/2009
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Last Update Date | 04/18/2012
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Provider Practice Location Address
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Address Line | 2792 OCEAN AVE FL 2
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City | BROOKLYN
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State | NY
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Zip | 11229-4731
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Country | US
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Telephone | 718-676-2566
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Fax | 718-676-2569
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Provider Business Mailing Address
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Address Line | 2792 OCEAN AVE FL 2
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City | BROOKLYN
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State | NY
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Zip | 11229-4731
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Country | US
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Telephone | 718-676-2566
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Fax | 718-676-2569
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Authorized Official
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Title or Position | OWNER
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Name | MS. SERGEY VOSKIN
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Credential | MD
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Telephone | 718-676-2566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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