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General NPI Number Information
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NPI Number | 1457673790
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Entity Type | Organization
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Legal Business Name | INTEGRAL MEDICAL PRACTICE, P.C.
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Dates
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Enumeration Date | 02/26/2010
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Last Update Date | 02/26/2010
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Provider Practice Location Address
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Address Line | 1306 E 105TH ST
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City | BROOKLYN
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State | NY
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Zip | 11236-4606
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Country | US
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Telephone | 718-531-6100
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Fax | 718-531-2329
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Provider Business Mailing Address
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Address Line | 1713 RALPH AVE
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City | BROOKLYN
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State | NY
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Zip | 11236
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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. JEAN DANIEL FRANCOIS
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Credential | M.D.
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Telephone | 718-531-6100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 197329
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License Number State | NY
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